C09975572 / invoice 10000

Reason: V+++ Appointment Notes: 6X v+ yesterday adn was dry reaching vomitted this morning as well ate chicken foot this morning (part of normal diet) and ate that fine.History: Day 3 todayWednesday had the runs light brown normal colour. Went to dog park on wednesday hasn't been for a while. Long grass there, does scavenge Yesterday morning (friday) from when husband left 5:30am vomiting bile x6 times, then dry retching Ate yesterday normally Today heard him vomit & was food partially digested, had a nap Last time he had this issue had been to dog park too Hasn't gotten into anything at home No vomiting since 5:30am this morning Gets fed chicken food in the morning & kibble eurkea at night, treats sometimes Has had vomited after cheeto puffs in the past, but not known to have eaten anything rich or new in the past few days Drinking water. No drooling or lip licking Lazy dog generally, antsy at 4pm to go out for walk, chasing flies this morning & ran outside barking today More tired yesterday after 6x bout of vomiting  Known to eat other dogs poo once. Normal poop this morning UTD worming Baby sat last friday when owners away ate othe dogs foodExamination: BAR, seems ok, O said can be snappy 9.4kg BCS 5-6/9 HR100 regular no murmurRR panting, clear lungsMM pink <2s CRT Teeth goodNo skin tentSoft belly not painful no massesMSK good ROM all limbs, no spinal pain38.8C thermometer came out cleanNo rectalLaboratory: Declined bloods today Assessment: Acute gastroenteritis - vomiting on empty stomach (ddx dietary indiscretion vs infectious vs FB vs pancreatitis vs other)High BCSPlan:Ondanestron 8mg 0.8mg/kg BID q8-12h 3 daysHills i/d low fat or bland diet small frequent mealsINI recheck bloods, imaging, in case FB O aware Conversation with owner:Discussed FB risk and monitoringAdvised to return if worsening, stops eating/drinking, or continued V+Faecal testing recommended if diarrhoea continuesFurther investigations if condition deteriorates    Vital Signs    Weight: 9.4;       

Reason: Gunky Eyes Con 2LIV:Started to get gunky eyes- since tuesday. Has been wiping with warm water on a tissue  Has happened twice before. Last time had eye drops and cleared up well. Regularly goes to the dog park.Eddu wellSIM:History: As above. O' wonders if from dog park.Examination: Difficult to examine in exam room but out the back with duck muzzle was a dream.Eyes bilat small amount MP dcMild conjunctival inflamSTT: L eye = 20mm; R eye = 13 so a little lowBoth eyes help open and comfortableNo apparent ectopic cilia or other irritantsCorneas okNSF abd palp/auscTemp okLNs okAssessment: Mild conjunctivitis with 2ry disruption to tear film => dry eyePlan: Warm compresses + topical tx 5-7 daysRc r/c in 10-14 days for STT to see if needs additional lubricant    Vital Signs    Weight: 9;       Temperature: 38.6;       

Reason: Vomiting Since Starting Antibiotics From PetstockAppointment Notes: started antibiotics a couple days ago, has been vomiting since, and very  quiet. petstock vet is currently closed- advised to bring meds with her--- 06/01/2024 10:21:36 AM GHR: KACHad been on antibiotics for over 1 week - flavoured amoxyclav antibiotics, 1/2 tab morning and night. Started last week - no vomiting until yesteday at the park5 times at dog park last night 3 times this morning, no food in stomach Vomit is quite yellow and foamyEating fine, doesn't seem to be vomiting after eatingBAR and usual selfBeen on antibiotics for a week (then meds extended - same drug)Friday last week nail removed under GAChecked up yesterday - adviseGiven the all clear yesterday at petstockObjective: Very BAR and energeticLast vomit 7.30am today - 3 in a row5 x vomit at dog park - yellow material - no grass 5pm. Ate dinner after this normallyFussy eater - ate as normal this amHR 124 no mrumerResp normal Abdo comforable although nervouse at clinic given frequent visitts sore a sore nail/toe No diarrhoeaBeen constipated this weekNot able to examine mouth as growlingTongue pink Diet - lychaScooted 2 weeks ago - had EAGs at time of procedure last week Temp 38.6Assessment: Poss insect bite reactionPoss food intoleranceConsider work up no bloods/ads ultrasoud if persistentNo vomits since early this am and has since eatenPlan: Bland diet small amt oftenIf becomes unwell, vomit persists then consider investigation further - bloods / rads / antacids--- 09/01/2024 11:12:07 AM OB:Called to check how doing no answer left message--- 09/01/2024 11:35:56 AM CC :JMO called back doing completely fine back to normal EDUD normal.    Vital Signs