C09972947 / invoice 10000

Reason: Ate Corn CobPresented and seen by Dr  JDA   @ 1/3 930pmRegular Vet: brunswick central VCPresenting Problem: Ingested corn cobHistory:Ingested corn cob (rib?) section of 5x2cm.Unrelated to presenting issue:Also noted as having lost ~1-1.5kg over recent months (unsure of exact time frame but weighed ~10.5kg)Noted to be drinking more as well.Appetite remains good but losing weight.Over last months have shifted away from chicken - having reactions? To novel diet.Settled on kangaroo (mostly) and is eating well. But not gaining weight.Diet is raw.Any current medications: NilAny access to potential toxins?: UnlikelyE/D/U/D: YesAny known conditions: Weight loss, polydipsia?Diet: Kangaroo (raw) diet.Preventatives up to date? YExamination Findings:General demeanour: QARTemperature: T: dnpCardiovascular: HR: 120bpm, no murmur, SSFP, MM pk/mosit,  CRT 1sRespiratory: RR: panting normal effort (stressed) normal BVS on auscultiationOral exam: NSF, no FB, no lesion, clean dentitionAbdomen: NSF, no mass effect, no pain/nauseaPeripheral LNs: WNLEyes/Ears: NSF, ears tied back to avoid vomit/contaminationIntegument: NSFMusculoskeletal: comfrtable ROM, no pain/crepitus/swellingGait: NSFNeurological: NSFBody Condition Score: 3/9Initial Assessment:Emesis successful (corn ob ingestion)Concern for weight loss and possible PUPD.Ddx: malnourishment vs malabsorption vs maldigestion vs other (parasitism, infx, liver (shunt), metabolic)Client Communication:Discussed successful emesis.Concern regarding other signs noted.Options discussed with O:1) Commence investigation tonight2) commence investigation with RV in AM3) commence investigation with medicine specialists whe navailable.Os elect for option 2.Appt organized in AM for further diagnostic testing.Ideally commence with CBC, biochem, lytes/blood-gas, urinalysis.Current problems: Corn cob ingestion - resolved. Weight loss/PUPD (ongonig)Prognosis: GoodTreatment: Emesis - successfulPlan:Ongoing investgiiaton regarding weight loss and potential PUPD.Plan for urine sample from Os at home(though forgot to send home with urine pottle) to go to RV in AM.Recommend: CBC, biochem, blood gas, urinalysis, +/- further investigation vs feed trial vs other.    Vital Signs    Weight: 9.2;