C09974836 / invoice 10000

Appointment Notes: D+ Panting (AH)HISTORY:Owner reports that  Mochi's D+ started yesterday; mucousy frequent D+ but no blood in stools, no vomiting. Still eating but not with usual enthusiasm. Drinking well Visited parents over the weekend and their dogs recently had D+ O started pro-kolin already; and did give meloxicam a few hours ago thinking she was uncomfortable. Flea/tick/worming: UTD PHYSICAL EXAM: Demeanour: BARVitals: WNL CVS: regular rhythm, no murmur, SSFP.RESP: normal respiratory effort, clear bronchovesicular sounds; no crackles or wheezes.ORAL: NAD OCULAR: NADABDO: gassy and borborygmi on palpation, mild discomfort LNs: peripheral LN WNL.INTEG: coat clean, no visible ectoparasites.GAIT: ambulating well, no lameness observed.UROGEN: NADASSESSMENT: Acute D+ - Primary GI (gastroenteritis vs dietary (indiscretion vs intolerance) vs gastrointestinal obstruction vs Infectious [bacterial vs viral vs parasitic vs protozoal] vs IBD vs other) vs Extra-GI (pancreatitis vs toxicity vs neoplastic vs hypoadrenocorticism vs other)PLAN: Advised O not to give NSAIDs during any GI upsetRecommended bloods and faecal testing, O opts for faecal testing but declined bloods for now. Giardia - negative Likely dietary indiscretion or acute colitis; trial supportive care at home and RV INI or getting worse TREATMENT: Omeprazole 1mg/kg SID PO Maropitant 1mg/kg SC Pro-kolin 5ml BID PO Bland diet    Vital Signs    Weight: 5.5;       MMColour: Pink;       RespirationRate: 26;       HeartRate: 120;       Temperature: 38.2;       BodyScore: 5;       CRT: 1-2;