C09975575 / invoice 10000

Appointment Notes: Ate Sultanas **HISTORYAny health concerns (Has been well in general, no health concerns.Has eaten 30-40g sultanas just now.  Raced straight in.)Any behaviour concerns (None though is anxious)Current diet (Dry food - unsure brand )Appetite and thirst (Normal)Vomiting or diarrhoea (none) Current medications (None ) Worming, flea and tick prevention (Monthly - UTD.  Vaccinations UTD as per owner) **TRIAGE/TPRMM: (pink, moist, CRT <2 seconds)HR: (88 )RR: (48 )Temp: (38.8 )Demeanor (Quite anxious.  No notable aggression.)**FULL PHYSICAL EXAMEyes (Visual, normal eyelids, no abnormal inflammation or discharge, normal ophthalmic exam)Ears (Minimal debris, no abnormal inflammation, odours)Lymph Nodes (peripheral nodes palpate normally)Oral (no oral lesions or abnormalities detected)Teeth (normal occlusion, grade ( 0), no obvious discolouration, tartar or gingivitis)Cardiovascular (Normal heart sounds, no murmurs or arrhythmias detected, femoral pulses synchronous and normodynamic)Respiratory:Nose: (No abnormal lesions or discharge)Lungs: (Lung sounds clear bilaterally, no stertor or stridor detected, no cough observed)Abdomen (Soft and comfortable on palpation, no focal pain, mass effect or organomegaly detected, bladder unremarkable on palpation)Rectal (n/a )Locomotor(Ambulates normally)No lameness or gait abnormality observedFLs - Good ROM in all joints, no pain on palpation,HLs - Good ROM in all joints, no pain on palpation,Spine - No pain on palpation of C/T/TL/L/LS spine)Skin (coat is soft and clean, no ectoparasites detected, no obvious skin lesions or masses)Neurological (Normal mentation, no ataxia or CP deficits observed, CN exam normal)Reproductive (External genitalia appears normal, un-desexed)**ASSESSMENT/DDX(In good general healthHx of sultana ingestion. )**CLIENT COMMUNICATION(DB discussed estimate with mum = acceptedBW later discussed concerns re sultanas and kidney.  Ideally base line blood - and recheck again @ 24 then 48hrs = acceptedPROCEDURE:  Emesis induction - Given 1/2 apomorphine tablet rubbed onto oral mucosa @ 17:18 - V+ within 5 minutes.  Multiple V+ - mostly just fluid, some small bits of sultana packet present though no obvious sultanas. - Administered anti-emeticsCLIENT COMMUNICATION:After V+ - no evidence of sultanas - either not eaten or digested??  Better to be on safe side and monitor bloods = accepted)**MEDICATION/VACCINATIONS/SR12( Maropitant 1.05mls SC)LABORATORY:  CBC: - GHP: - **PLAN( Recheck bloods Tuesday Progress exam and bloods Wednesday - sooner if any concerns or deterioration)  - Has been pre-paid.    Vital Signs    Weight: 10.4;       MMColour: Pink;       RespirationRate: 48;       HeartRate: 88;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       Demeanour: BAR;       Hydration: Normal;       Gingivitis: 0;       Calculus: 0;       Observation: Normal;       Temperature: 38.8;       BodyScore: 5;       DentalGrade: 0;       PainScore: 0;       CRT: Less than 1;