C09978038 / invoice 10000

Reason: Very Lethargic/off FoodDiagnosis: Lumbar pain is main findingConsider true spinal pathology (muscular v other) v referred pain?History: On sunday was fine - jumping round everywhereYesterday was v lethargicDrinking okWont walk on the stairsDoesnt want to move No known trauma that aware of Yelped when neighbour tried to pat her this morningWont navigate stairs at the momentNot eaten for 24 hoursUrinated ok Faeces normalNot on any medicationsNo access to poisons that aware ofHad a big vomit in the waiting room Objective: Pe results am:Hr - hard to ausc as panting Possible low grade murmur pmi parasternal? Cant be sure due to anxiety/pantingMm pinkDs1-2/4Eyes okEars okRight pinnae small papilloma presentAbdomen tense but no acute painNo obv massesLnodes okTemp = 38.5Lumbar pain around l4-5 region - repetable - yelps ++CP all normalAssessment: Lumbar pain v referred abdo pain?Plan: Rest and paracetamolWathc for ataxia development if true spinal pathologyAlso wathc for git signs - if develops lots of gi signs could be primary abdominal issue and we may need to re-assess apporach    Vital Signs    Weight: 6.44;       

Reason: Not Really Eating For The Last 5 Days. Ruby VetcxHistory: Pebbles hasn't eaten anything other than a nibble of chicken wing in the last 5 days - sniffs it, sometimes picks it up and seems to chew ok but doesn't actually eat anything. Otherwise well - normal energy levels & tail wagging. Thirst and urination are reduced. Stool volume significantly reduced but formed. No blood/mucous. No vomiting, drooling or lip smacking. No coughing/sneezing.Diet: raw chicken wings + diced lamb/beef - no diet change/scavengingPreventatives: bravecto quantum UTD, SR-12 UTD. Deworming?Medication: noneObjective: Quiet, alert and responsive. Anxious. Weight gain of 20 grams. Eyes: bilateral SNS. Ears/nose: NAD. Mouth: grade 1-2 dental disease. Integument: NAD. Grade II/VI left apical systolic heart murmur, thoracic auscultation otherwise NAD. Abdominal palpation tense - unable to palpate individual organs. Peripheral lymph nodes NAD.Laboratory: Hematology WNLBiochemistry all WNLManual PCV: 50%, TP 70g/L, plasma hemolyzed.Assessment:Marked hyporexia - primary GI disease main rule out. No evidence of secondary GI disease on bloodwork, but cannot exclude pancreatitis. Treatment: Prevomax 0.7ml SC @ 10.20am.Plan:Monitor response to prevomax - if not eating with this on board then can trial paracetamol for analgesia, however if still not eating well then the next step is abdominal imaging for further assessment.Communication: --- 16/02/2026 11:50:50 ABK: STO. Relayed blood test results and assessment as above. O hasn't tried offering any food yet - will try now - advised if not eating well desptie prevomax, can consider trial with paracetamol given adominal tension, but if still not eating well then abdominal imaging next steo for further assessment.    Vital Signs    Weight: 6.55;       MMColour: pink;       Temperature: 38.5;       HeartRate: 120;       BodyScore: 5/9;       DentalGrade: 1-2;       CRT: < 2 sec;       

Reason: Poss Kennel CoughCoughing started 2d ago. Also at night.Conjunctivitis - has optichlor - seemed to help. Reduced appetite the last 2-3 days. Normal diet chicken wing at lunch and then also gets chopped raw steak.Vomited Saturday. Has had these symptoms before - last time 12m ago.Is a house dog, doesnt go to doggy day care.Medications: No - Examine: Mms pink and moist bilateral mucoid d/c bilaterally, eyes appear moist. HR 96bpm, 2/6 SHM apical. Quite sensitive cervical trachea.Assessment: ínflammatory/infectious coughConjunctivitis Plan: Lomotil bid Pred low doseRedispense optichlor.    Vital Signs    Weight: 6.53;       Temperature: 38.8;       HeartRate: 96;       RespirationRate: pant;