C09977149 / invoice 10000

Consulting with Vet Nurse: noPRESENTING COMPLAINT: - Diarrhoea for several (5) days whilst staying with one of owner's friends, whilst o awayHISTORY:EDDU: Not eating well, a little lethargic Diarrhoea yellow watery/ semi-solid ( yellow colour ), NO access to snail bait vomited once 2 nights ago (clear/greeny colour)- Symptoms started after eating raw chicken wing left in garden- Up every hour through night with small drops of yellow diarrhoea- Lost some weight thru inappetence- D+ twice today, - Eating a little ch/ rice atmCurrent medications: Parasite prevention used: Milbemax given just before Christmas, 3 monthlyCurrent diet: Chicken and rice currentlyWeight, BCS: good weight 8.1kg Temperature: 39.0 CDental grade: mild- mod dental dis mm pink, HR: chest clr, no HMEXAMINATION: Eyes: normal Ears: no infection ATM Peripheral LN: NADCoat & Skin: NADabdo palp'n - no masses, pain or enlargements Demeanour: nervous at vetPROBLEM LIST:- Acute gastroenteritis- diarrhoea (& 1 x Vomit)DDx:Bacterial gastroenteritis (possibly salmonella from contaminated chicken), dietary indiscretion, giardiaASSESSMENT: Acute gastroenteritis likely secondary to ingestion of contaminated raw chicken wing. Patient appears stable with ongoing GI signs.TREATMENT in consult room/Meds dispensed:Metronidazole 250mg (1/2 bid) 5dNails clipped: NoVET TECH actions:Generate client summary in VetNotes Discuss estimate: Faecal PCR test estimated at $330, Recommended to do today. * O prefers to do this if not improving in 2 d *Email handout: none neededPLAN: - Start antibiotic treatment for suspected bacterial gastroenteritis- Faecal PCR testing to identify causative organism (15 virus/bacteria panel) if no imprvmnt in next 2d. May need bloods &/or to come into hospital- Continue bland diet for now (chicken and rice)- Gradually reintroduce normal food mid-next week if improving- Monitor response to treatment over weekendRevisit recommended? Monday if not improving, otherwise mid-week if stableCall back scheduled? No

HISTORY- Chronic on and off stomach issues, nothing the last few days but upset stomach a few days ago, unclear re trigger- occasional swollen vulva, frequent on and off licking, recently not licking much- History of ear infections, ok at the moment- Dental disease- Previously treated with apex cream for vulva, this helps-has had allergy injection previously which helped-anxious at vets-not on any medication currentlyEXAMVulva: salivary staining notedvitals wnlG2-3 dental iseaseotherwise nsf todayDIAGNOSIS- Chronic intermittant gastrointestinal and skin issues, both may have underlying allergic causesTx:C7 vaxproH inkPLAN- Consider sedative before future visits to reduce stress- Continue monitoring and possibly treat with allergy medication if symptoms flare up- Monitor for any reactions to new vaccine brand- trimmed nails in consult

Carer looking after Tilly in April 2025: Robin 0448 810 710Carer wanted to do gaponly at booking on 22/4 but Arianne was in urgent euth at time. OB let carer go and said once AT processed/finished consult notes and we did GapOnly, we could call to make payment. Please do one left in amazing staff.23/4/25 SJC: submitted Gap Only. Applied benefit and sent O sms to call to make payment