C09975337 / invoice 10000

Due for spey operation this morning so withheld food overnightDid 2 small bile vomits this morning at homeIs bright an dalertRec proceed today with adjustments to anaestheti cregimeOn admission with owner did a huge vomit in waiting room>>No diet changes started at home as yetExmainationPink sl muddy mmBrightHR 120 bpmRegular, no murmurRelaxed abdominal palpationPulses wnlTemp 38.7Rectum- formed good faeces>>Postpone todays procedureSend out IDEXX tahp bloods for surveyMaropitant 1.8ml IV @ 10:20amoffer <1/3 cup food in 90 min with a little waterDiscuss progress and bloods results

Call to check if any v+/d+ prior to spey app tomorrowO reports well since last visit, no concerns 

In for R ear treatment however also reports that has done a biley vomit once a day for 3 daysCurrently stools are good. Prokolin has almost finished. Is on goat lyca with rice.Not known to have eaten something else however is scrounger of all things including rocksR ear clean orifice iwth epiotic>>NEPTRAL ear cleanorific eepitotic>> Elcon weeklyRV ears 3 weeksPink moist mmPulse wnlAbdo palp relaxedDiscuss primary GI versus extra GI causesCurrentl brightl, eating well and pooing wellConsider survey bloods to r/o congenital issues, check proteinl evels etcDiscussion re costs and insuranceDiscuss imaging to r/o obstructiove disease/FBAnkita will chat at home, sent estimate, advise is not exhaustive testing but preliminary informationRestingcortisol, stool sample, dietary trials, emperic medicaiton trials and scoping also involved indiagnosis of some diseasesRec slower startinghypoallergnic hydrolysed diet trial in the mean timeTo report back if vomiting/unwell is ongoing