C09973508 / invoice 10000

Reason: Biting At Body - Panting Appointment Notes: AD STABILIZATION 01.03.26Triage by CP @ 4:50pm15 mins prior to presentation he became very agitated, licking/biting his LHL and rolling in the carpet at home.- got home from a walk @ 11am this morning no issues- mum was chopping onions and used the same board for cheese and he licked it?BARHR 112RR pantingMM pinkCRT 1 sectemp 39.1weight 21kgRecord Entered by: Alexander Panakos History:Owner presents Beau, for unusual behaviour, licking at his LHL paw, and not able to settle. He was also seen rolling around, kicking his back legs on the carpet and very irritable as well as panting. While waiting to be seen in consult he settled down, but owners noted they could hear his stomach rumbling.He was outside on the apartment balcony when the episode occurred.Owners also fed a raw bone from the butcher around midday (about 20cm - 30cm in length)No prior known medical conditionsNot on any medicationsUTD with vaccinationsNot UTD with FTW --> last given just over a month ago --> usually on nexgard.EDDU normalNo CSVDNormal diet --> Lyka, does get table scraps and cooked food from owners --> however he has had all the food they've given him recently (nothing new).  Physical Examination: Demeanour: BARBCS: 6/9EENT: NADPeripheral lymph nodes: NADIntegument: Mily erythema in all interdigital spaces of the paws with mild fur staining on palmer/plantar region of pawCardiovascular: No murmurs or arrhythmias noted on ausc. SSFP, MM pink, CRT 1-2sRespiratory: Normal bronchiovesicular sounds bilaterally. No crackles or wheezesAbdominal: Mild to moderately tense on cranial abdominal palpation (repeatable). Caudal abdomen soft and comfortable. No obvious organomegaly, fluid wave or masses.Musculoskeletal: Ambulating well on all 4 limbs. Full MSK exam not performedNeurological: Appropriate mentation. Full neuro exam not performedRectal: Not performedUrogenital: NAD Assessment:Problem List:1. Tense abdomen2. Mild erythema of interdigital paw spaceVery vague signs, that only lasted a short time and resolved over time.Cannot rule out gastritis from the bone fed today, or other table scrapsConsider intra-GIT vs Extra-GITCannot rule out allergic reaction   Plan (incl. alternative options): Offered owners the following options1. Symptomatic treatment + bloods + imaging2. Symptomatic treatment + bloods3. Symptomatic treatment only4. Continue to monitorOwners elected to monitorExplained if allergic reaction that his vitals are normal so not truly anaphylactic reaction --> possiblity for biphasic reaction. Explained the bone and/or all the table scraps fed could cause gastro issues and/or pancreatitis and/or constipation/diarrhoeaClient Communication:Relayed that potentially tense abdomen can be indication of gastroenteritis of unknown cause or obstruction or irritation from other things fed.To not give bones in the future given risks.To represent if similar episode occurs, and to film what he does during.Recheck with RegVet if still licking/chewing/biting at feet    Vital Signs