C09974827 / invoice 10000

Reason:  
History: 
- Panting started early this morning
- Did a large V+ this morning and another one a bit later
- No energy
- Sat night very smelly farting
- Not very interested in food
- Drinking plenty of water still

- O reports had a Bbq and was feeding sausages and raw bones

Current medications: None

Examine: 
Mentation: BAR
Body condition score: 4/5
MM: pink/moist            CRT: <2sec
HR: 100 w/ no murmur or arrythmia
RR: Panting w/ no adventitious lung sounds
LN: NAD
Temperature: 39.0
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Gastrointestinal: 
- Slightly generalised tense abdomen
- Difficult to palpate internal structures
Neurological: NAD
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Problem List:
- V+
- Tachypnoea
- Lethargy
DDx: FB vs pancreatitis vs liver disease vs pancreatic disease vs toxin vs other
A: Discussed concern for FB or pancreatitis advised bloods (blood gas and CPLi at a minimum) to assess for these. Discussed possible need for imaging. Discussed antiemetic treatment. O just wanting anti-emetic and monitoring for now. Advised if after 30min Beau continues to V+ then he needs to be seen straight away as risk of FB is higher. Ensure still drinking water.

Treatment: 
- Maropitant 5.6mL SC

Plan: 
- RV INI

Reason: Courtesy phone call 
Nurse: Sharon G
History: Ears
TTCONALM, SMS sent