C09972599 / invoice 10000

01/03/2026 Presenting for: V+, D+

HISTORY
For past couple of weeks: 
- O thinks has been a bit sad/ quieter than normal (still plays and eats well) but otherwise going well. No changes to routine or enviro

Last couple of days: 
- Trying to sleep with Os (unusual for her)
- x1 V+ o/n and was possibly blood tinged + lots of food contents. x2 more V+ today and was clear bile, O did not see her do them so cannot rule out regurg
- O unsure of defecation as live on a large property. Today had fresh red blood coming thru the anus, which has stopped now. Tenesmus this morning
- Appetite normal. Urination and drinking normal as far as O is aware
- Known food scavenger (nothing that O is aware of). No known pica. No recent access to bones. No known access to toxins and no access to rat bait that O is aware of, there is maybe rabbit bait but again, nothing that O is aware of
- There are snakes on the property, O not aware of any interactions recently

No coughing or sneezing
Diet: life wise kibble + wet food
Parasite prevention: UTD - heartworm injection, NUTD with other treatments
Vaccinations: UTD
Medical Hx: no
Current meds: no
No other concerns

EXAMINATION
BAR
FAS score: 2/5
Mild dehydration, <5%
Eyes: clear and bright corneas, no discharge, PLR/ menace/ palpebrals intact
Ears/nose: clear, no discharge
Oral cavity: gag intact
LN NAD
MM pink/sl tacky, CRT < 2 sec
Heart: 128bpm, no murmur or arrhythmia, synchronous FPs
Lungs: normal bronchovesicular sounds, no crackles and wheezes, appropriate rate and effort
Abdo comfortable and soft on palpation, no obvious masses
MSK: ambulatory x4, no obvious lameness, no spinal/ neck pain, decent ROM of FLs/HLs
Integument: NAD
Rectal: 38.8 deg C, colon otherwise empty on digital rectal exam

ASSESSMENT & PLAN
V+, haemorrhagic D+ DDx: primary GIT vs secondary GIT
<5% dehydration
On a property with snakes and rabbit bait but no known exposure

Options presented to O: 
1. Bloods +/- clotting times/ CK (disc that with snake need to re-check coags and CK 4-6hrs later)
2. Supportive care
O elected for option 2
- O feels is unlikely to be snake or rabbit bait so O elected to forgo coags and CK, knowing the risk if it is indeed
- Add psylium husk 1/2 tablespoon SID, small frequent meals, bland diet. Add pro-kolin, milpro, maropitant, oralade
- Warned of AHDS: if bloody liquid D+ persists until tomorrow then review ASAP (or sooner if concerned). Disc that if develops true AHDS will likely need hospitalisation for bloods + supportive care
- If V+ thru maropitant then review ASAP

MEDICATIONS
Pro-kolin, milpro, oralade - follow instructions on label
Maropitant 1mg/kg SC bt the scapulae

COMMUNICATION
As above