C09977702 / invoice 10000

Reason: Diarrhoea And Vomiting TasHistory: vomited  this morning once, then developed runny smelly diarrhoeaDrinks and wants to eatEnvironment, parasite control, diet, vax status;Prior Illnesses, Trauma, Surgeries:Describe any previous/ongoing health problems includingWhen/Duration/Treatment/OutcomePresenting problem(s)Examination:barEyes/ears:nadTeeth/mouth:nadChest:nadAbdomen:nad, rectal exam liquidy yellow faces, putrid smelly Urogenital:nadDigestive:nadLymph nodes:nadSkin: nadLocomotion:nadNervous System:nadAssessment:vomiting-diarrhoea, primary git dz signs, infection Plan/Therapeutic:feed rc git diet for 4 to 6 dTreatments; prevomax inj scMedications metrobactine bid for 10 d    Vital Signs    Weight: 26.7;       MMColour: pink;       Temperature: 38.4;       BodyScore: 3/5;       DentalGrade: 0/4;       CRT: 2s;       

Reason: Vax RtHistory:fine, on m combined prev , the o wants to change to yearly htw ini + 3 mol drontelEnvironment, parasite control, diet, vax status;Prior Illnesses, Trauma, Surgeries:Describe any previous/ongoing health problems includingWhen/Duration/Treatment/OutcomeExamine:barEyes/ears:nadTeeth/mouth:nadChest:nadAbdomen:nadUrogenital:nadDigestive:nadLymph nodes:nadSkin: nadLocomotion:nadNervous System:nadBehaviour:goodAssessment:Plan: diagnosticLaboratory In clinicLaboratory ExternalDiagnostic ImagingRadiologyPlan/Therapeutic:Treatments nobivac dhp 2523707 04-27 sc/bbpi sc 2512003 10-2026MedicationsDeclined-Deferred Services:List Services offered/Reason declined/DeferredHistory:Examine: Body condition score:Eyes/ears:Teeth/mouth:Chest:Abdomen:Urogenital:Digestive:Lymph nodes:Skin: Locomotion:Nervous System:Talk about Services: Vx, microchip, Insurance, Boarding, Heartworm, Diet, Grooming, Puppy/Kitten pack, Desexing, Normal worming and Flea control.Vaccine batch number:Site of vaccination: dorsal neckPlan: Vaccinations: DHPPi, Kennel Cough Vaccination    Vital Signs    MMColour: p;       Temperature: 38.3;       BodyScore: 3/5;       DentalGrade: 0/4;       CRT: 2s;       

Reason: Pooing In Crate At Night Has Had D+ Recently Also Appointment Notes: ETHistory: Crate trained since a puppy2 weeks ago - looked like D+ but O thinks it was V+, went on for a few days then stopped. Then this week did a big poo - looked normalDid change food last  - normally has chicken mince, changed to beefAlso has optimum dryNo change in behaviourGood appetiteGets car sick - normally on the trip homeO thinks may be some stressPresenting problem(s)D+/V+?Examination:Eyes/ears:nadTeeth/mouth:nadChest:nadAbdomen:nadUrogenital:nadDigestive:nadLymph nodes:nadSkin: nadLocomotion:nadNervous System:nadAssessment:V+/D+Differential Diagnosis:Gastroenteritis/change in diet/food sensitivity/otherPlan:Given info fro travel sickness- ginger tablets/phenergin/cerenia tabletsDiscussed zylkene for stressMontior toileting, if continues recommend pro-kolin/probiotics +/- bloods/faecal test etc    Vital Signs    Weight: 24.3;       MMColour: pink;       Temperature: 38.4;       HeartRate: 120;       BodyScore: 5/9;       DentalGrade: 0/4;       RespirationRate: 40;       CRT: <2;