C09972487 / invoice 10000

Reason: Not Eating/not Responding To Name - RBAppointment Notes: O called, Nessie hasnt eaten today and doesn't seemintersted in her food. She is still breatsfeeding her puppy. She also is not respnding to her name, O was calling Nessie for a while with no response until she found Nessie under her car not coming out O had to use a broom to coax her out from under the car. Nessie is also breathing a bit fast, not acknowledging O returning home when she usually will bark. The main change in environment is thst Nessie was there when another family dog (nessie's friend) was euthanised on Thursday and O wonders if this is Nessie greiving. O very concerned. Discussed with KB and emergency consult recommended.History:Has one puppy born 4 weeks agoHas b een good the whole timeOwners family dog was euthanased last weekThis morning not keen to eat breakfastOwner came back from outside she didnt get up to greet ownerAte a little bit of food on the way into the clinicPanting a lot at homeExamine:COAT/SKIN: no abnormality detectedEYES/EARS: no abnormality detected, ears and eyes clean and clearMOUTH/TEETH: Oral exam normal, no mouth pain, dental score:3+ upper premolars and carnassialsHEART: cardiac auscultation normal , normal rhythm, pulse pressures normal and synchronousLUNGS: thoracic auscultation clear sounds bilaterally, panting excessively and shaking (normally a very calm dog)ABDOMEN/DIGESTIVE/URINARY: no abnormality on palpation, faeces in colonCNS/MUSCULOSKELETAL: normal palpebrals and menace bilaterally; ambulating normally, no palpable neck pain, spine, limb, joint painPeripheral Lymph Nodes: no abnormality on palpationWEIGHT/DIET: Body Condition Score:4/9REPRODUCTIVE: entire, small amount of discharge from vulva swabbed rbcs+++, neuts+ cocci+Other:Worming/Heartworm/Flea control status:UTDNutrition:Laboratory:  'bloods runDifferential Diagnosis:Milk fever? Vs stress/aniety responsePlan:Discussed with owner milk fever likely We don't carry IV calciumTried City Vet Waterford and they unable to see herDiscussed taking to AES for assessment and treatment Owner familiar with AES as that is where the c-section happenedAES will open at 6pm, plan to take her home and see if she settles if not recom recheck at AES and see if calcium supplimentation warranted    Vital Signs    Weight: 5.1;       Temperature: 38.7;