C09977700 / invoice 10000

Reason: V+, Lethargic. Possible BloodsAppointment Notes: see prev visitscdSubjective: Ongoing diarrhoea/ Gi  issues Started  ondasetron  last  night Ate food last  night  = 1/2 dinner  Few frothy  vomits today  2 hour after  medsFaeces -  small runny  poo, yellow , no  melaena or blood, some mucousSome reduction in energy  Drinking okAir  dried  single protein diet  - lamb or duck  Roll  100-120g   kang/ pumpkinObjective: BAR , hydration ok Mm pink,crt < 2s  , hr=  112, no murmur, abdo  nad, , t=  39.2Plan: Bloods for TAHP  +  CPL -  consider  b12 after  Losec, ondansetron, pro kolin Awaiting PCR  results Kang and pumpkin roll only    Vital Signs    Weight: 10.2;       

Reason: Not EatingAppointment Notes: Paws App Details:Booking Type: ConsultationBooking Vet: - Any -Booking Notes: Not eating, soft poopHx: got a bit better- normal stool within 2 days, then didn't want to go at all (Didn't go for 2 days but then did big stool), then stopped eating 2 days later (wouldn't eat brekkie - air dry lamb- ate only 1/2 dinner and no brekkie next day), poo has been runny- yellow soft and mucousy, no V+ and no accidnetsAll since last bravecto tabletPe:- BAR, MMPM, CRT<2', - Bright clean eyes/ears/nose- Heart and lungs ok: normal rate and rhythm, no murmur/crackles/wheezes- NAD abdo palp soft and comfy: a littlew gassy after palpation but nowhere painful- BCS 5/9 ideal- No weight loss- Rectal semi soft stoolStart with faecal and ondanseteron- If all clear blood test next- could start with cpli +/- TAHP-    Vital Signs    Weight: 10.3;       

Reason: DiarrhoeaAppointment Notes: Paws App Details:Booking Type: VaccinationBooking Vet: - Any -Booking Notes: DiarrhoeaHx: got 3 month bravect just over 1 mo ago - got upset tummy then fine then upset tummy again- prokoling and blands and did ok. 3 days ago started to refuse to eat and soft stools in park, got a little food into her, 2 accidents overnight, No V+, no blood in stool but mucousPe:- BAR, MMPT, CRT<2', teeth clean- Bright clean eyes/ears/nose- Heart and lungs ok: normal rate and rhythm, no murmur/crackles/wheezes- Lip licking on abdo palp but not tense- Temp 39.2- soft stoolDx:- Likely GEPlan:- 200ml SC fluids, prevoamx, 2ml childrens panadol, metro and prokolin- Give 48hrs to see if improving- INB furtehr testing (E.G. Cpli)- Home with faecal pot in case    Vital Signs    Weight: 10.3;