C09974147 / invoice 10000

D++ all weekend

Tofu is a 6yo MN Maltese X dog presented today for D+ started from 3 days ago. 
Slightly less appetite but still eating. 
No V+ over the weekend until now - O just noted one vomit when came home from work.  
O gave him some piggy ear last week. 
No other changes to diet or environment. 
UTD with FTW. 

Clinical Exam
BCS : (6/9)
(BAR - happy and loving treats in consult)
MM: (Pink and moist, CRT <2 sec.) 
Temperature:(38.5)
Cardiovascular: HR (110)/min, Pulse (strong and regular), (no murmur) auscultated
Respiratory: Rate  (28)/min, Normal bronchovesicular sounds
Mouth: NAD  dental score (1)/(0). Bite conformation (normal)
Eyes: (NAD, clean and clear, no discharge)
Nose: (NAD, clean, no discharge)
Ears : (NAD, clean, no discharge) 
Gastrointestinal: (Soft and comfortable with palpation, no masses palpated)
Genito/Urinary: (NAD). 
Integument: (Coat is clean, no ectoparasites noted)
MSK: (able to ambulate well in consult)
Neurological: (NAD, full exam not performed, BAR)
Lymph Nodes: (NAD)
Rectal: Empty. D+ on glove. 

Diagnostics: 
In house Giardia test 

Tx Plan: TGH with Ondansetron BID and Prokolin BID for 5 days. 
Recheck INI 3 days and advised of blood tests and abdominal xrays to evaluate.