C09975484 / invoice 10000

Reason: Possible Snake BiteSubjective: Both dogs seen playing with / attacking a brown medium sized snake of unknown speciesNot known if either dog has been bitten. Objective: BAR, mm pink, CRT 1 sec, HR 90, pulses strong, chest clear, resp effort normal, T 38.7No bites/injuries noted. Client Communication: recommend serial CK and coags, if normal clinically and bloodwork, monitor and home 6-7am. O consents to costs. Consents that if we could not contact, additional $2-3k for antivenom and risks of antivenom. But plan is if abnormal, call either number first to consent to further treatment ongoing. --- 01/03/2026 03:14:11 VYU:Laboratory: Midnight CK = 52Midnight Coags = PT 16 / APTT 110.1 (both normal)3am CK = 60 3am APTT/PT = 106.5 15.3 (both normal)Assessment:Likely not biten by snakePlan:Okay TGH tmr am.--- 01/03/2026 05:24:22 VYU:Called Karen discussed okay to discharge both of them now, the clinical parameteras are not indicative of snake bite envenomation. Karen happy to come and collect    Vital Signs    Weight: 26;