C09974676 / invoice 10000

Hi there,I tried calling on Saturday but got your phone answering service which advised you were closed and I couldnt hear an option to leave a message.I wanted to cancel the abdominal scan for tomorrow, as honey had been good. No more vomiting and stools seem back to normal without the prokolin now too. Since she is going to the bathroom fine, I dont believe there is any blockage or partial blockage, so not sure if there is any benefit to have the scan done.I will however still be bringing honey in tomorrow morning to continue with the procedure for her teeth and removing the couple of skin tags.Thank youSee you soon

Report To:DR NORTH RICHMOND VET61 Yobarnie AveNORTH RICHMOND 2754Patient:Name: BORG, HONEY61 YOBARNIE AVENORTH RICHMOND 2754Phone:DOB: N/AAge: 4 yearsSex: FemaleSpecies: CanineRequest Details:Lab Ref: 26-16143476Your Ref: NRV00C63A241CCollection: 21/02/26   00:00Ref. by DR.NORTH RICHMOND VETTests requested:Final report.  Thank you for your referral.Clin notes:Species: Canine,retriever,4y,F.Report:CANINE MULTIPLEX VET FAECAL PCRSalmonella spp. DNA                        Not DetectedCampylobacter jejuni DNA                   Not DetectedCampylobacter coli DNA                     Not DetectedCryptosporidium canis DNA                  Not DetectedGiardia spp. DNA                           Not DetectedParvovirus DNA                             Not DetectedCanine Coronavirus RNA                     Not DetectedClostridium net F toxin DNA                Not DetectedClostridium perfringens Toxin A DNA        DETECTED *          8.31Clostridium perfringens CPE Toxin DNA      DETECTED *          21.01PLEASE NOTE - This test is outside the scope of Vetnostics' NATAaccreditation.PCR for Clostridium perfringens A is of uncertain value in dogs withdiarrhoea as this target is identified in similar percentages of dogswith or without diarrhoea. In one study, Clostridium perfringens A wasidentified in 84% of dogs without diarrhoea and 91% of dogs withdiarrhoea.PCR for Clostridium perfringens CPE was positive in 15% of dogs withoutdiarrhoea and 17% of dogs with diarrhoea in one study and may be oflimited value in assessing most cases of diarrhoea in dogs.  However,Clostridium perfringens CPE toxin production, as well as netF toxinproduction, may be associated with acute haemorrhagic diarrhoea syndrome(AHDS), with Clostridium CPE reported to be positive in 67% of dogs withAHDS. The presence of Clostridium perfringens CPE gene in a case withsupportive clinical signs may be significant.Doug Lessels (ne Hayward)Veterinary Pathologist

VISIT REASON: V+/D+ x 3/7, fresh blood in stoolSUBJECTIVE:History: V+/D+ x 3/7, not improving. Constant vomiting and diarrhoea, not related to eating. Fresh blood noted in stool this morning - small amount, bright red, mucusy. Drinking lots of water. Not eating well. Had venison treat ~2/52 ago - not a normal treat. Possible ingestion of fake grass substrate, frogs, dead centipede. Previous intermittent GI issues when younger, resolved on hypoallergenic diet. Owner up all night with Honey - pacing, needing to go outside frequently.Existing medical conditions/diagnoses: Hx of GI sensitivity, controlled on hypoallergenic dietCurrent medications: Royal Canin hypoallergenic diet, pro-kolinOBJECTIVE:- Vitals:- Temperature: WNL- Heart Rate: WNL- Respiratory Rate: WNL- Weight: 39kg (yesterday)- Physical Exam:- General Appearance: BAR, pink mucous membranes, hydrated- Eyes: appear comfortable and sighted- Ears: unremarkable but otoscopic exam not performed- Oral Cavity: CRT <2sec, no malocclusions, no calculus, no gingivitis- CV: no murmur, regular rhythm, synchronous regular femoral pulses- Resp: normal respiratory character and effort- Neuro: appropriate mentation, unremarkable gait. Detailed neurological exam not performed- Integument: clean, healthy coat without matting- Abdomen/GI: NAD on abdominal palpation, not painful on palpation, BCS 8/9- Musculoskeletal: unremarkable- Urogenital: external genitalia unremarkable- Peripheral lymph nodes: palpably normal- Rectal: not performed- Diagnostic Results: In-house faecal test - negative for coccidia and giardia. Previous bloods - largely unremarkableASSESSMENT:- Acute V+/D+, fresh blood in stool - likely large colon irritation- DDx: partial foreign body, IBD flare, infectious gastroenteritis, dietary indiscretion/toxin ingestion- Offered abdominal radiographs today however wanred negative radiogrpahs do not always rule otu FB, especially partial. O elected to persue u/s insteadPLAN:- Diagnostic/Treatment Plan:- Cerenia 1mg/kg injection given today- Cerenia 60mg tablets: 1 PO SID- Faecal PCR to external lab - $248- Abdominal ultrasound with Dr Jen - Monday, $500 including sedation; will likely have PCR results by then- Continue hypoallergenic diet, offer food frequently in smaller portions- Continue probiotics- Continue water access - small amounts frequently if concerned about gorging- Dental staging and skin tag removal discussed - to be booked once stable as unable to book enough time on Monday. Quoted $600 for stage 1- Recommendations:- Drop off Monday AM, nil breakfast, water OK- If deteriorating over weekend, return sooner- If faecal PCR negative and ultrasound unremarkable, consider IBD treatment trial