C09972782 / invoice 10000

Reason: Lethagic And V+HistoryOwner mention since yesterday dog vomited for around 6 times and seems abit more lethargic than usual, owner didn't try to feed him since then but still eating well yesterday, no diarrhea/blood in faeces  noticed, UTD simparica trio, gave some chicken skin few days ago, no known access to toxin, normally don't have chance /intention ingesting FBExaminationBARMM pink CRT<2Lung sound clearHR 100 RR 32 temp 37.9Abdominal palpation no pain/discomfortPeripheral LN wnlWalking fine no limping/ataxiaEyes nose ears clearPLR menance palpebral gag reflex CP withdrawal refelx wnlRectal exam, noticed normal faeces, no blood/diarrhea noticedAssessmentDdx gastroenteritis vs pancreatitis vs FB vs food intolerance vs othersPlan:Advise for blood test and imaging eg abdominal xrayOwner prefer just medical trial firstMaropitant 1mg/kg SCOffer low fat blend diet for few days then progressively change back to normal dietClose monitor is not eating/still vomiting/flat etc recheck asap or go straight to 24 hours hospital during after hours    Vital Signs