C09975548 / invoice 10000

Recheck - pancreatitis, likely hosp + IVFT

History: 
Doing pretty good, don't think pooed
Had some watered down food. Ate a chicken tender. Had dinner as well. Not drinking much. No vomiting. 
Energy levels good. 
Went for a walk this morning, chasing possums last night. 
Diet: morning RC dental dry (doesn't eat it  often) + liver treats on it. Dehydrated chicken breast. Dinner gets cooked/poached chicken, rice, peas and carrots 
Vx: utd?
FTW: utd  
Current meds:nil 
Dr Chris brown charcoal treats last 2 months (according to website, contains coconut oil. ~8% fat content) 

Physical exam: 
QAR, anxious HR 104 bpm RR44, pant bpm MM p&m CRT<2s BCS6/9 T38.6 
Cardiac: no murmur , normal rhythm and intensity 
Respiratory: normal bronchovesicular sounds on thoracic auscl. 
EENT: eyes mild incr opacity bilat. Ears bilat significant brown discharge 
Integument: clean coat, nil parasites evident. 
Oral:C2G0 . 
Peripheral lymph nodes: submandibular, prescap, popliteal  wnl
Abdo palpation: tense 
MSK: Normal gait. Full MSK exam not performed 
Neuro: normal mentation. Full neuro exam not performed 
Rectal: soft faeces present near anus 
Hydration: mild skin tent. drooly 

Assessment: 
DDx: pancreatitis 
O consented to hosp + IVFT 

Discussed abdominal ultrasound for further work up  ($980 for u/s and sedation) - O declined for now. 

Treatment: 
IVFT Hartmann's 45ml/hr (twice maintenance) 
Temvet 0.75ml BID @ 1pm IV & 5:30pm SQ
Prevomax 0.75ml IV @1pm

Quite drooly in hospital 
Got consent from O to give low dose atropine. 
Atrosite 0.23ml (0.02mg/kg) IV 
Drooling ceased 

Plan: 
O to pick up tonight and recheck tmr morning.