C09980154 / invoice 10000

Reason: No Better,Blood In FaecesAppointment Notes: EGReason: Client Present:Nurse:Healthy Pets Wellness Testing: Done Yes / NoVaccination Type:Intestinal worming:Heartworm Prevention:Flea Prevention:Tick control:Microchip:Insurance and Healthy Pets Plus:Behaviour concerns:Current medications:Current Diet:Type of Shampoo/Frequency:Toileting:__________________________________________________________________________History: See previous history. Diarrhoea not better, passing multiple bouts of diarrhoea overnightBlood this morningExamination: TPR WNLHR 126 RR panting MM pink CRT <2sec temp 38.2Rectal - scant diarrhoea, mild rectal ballooningLaboratory: IDEXX diarrhoea PCRAssessment: Diarrhoea - DDx gastroenteritis (bacterial, viral), dietary indiscretion, IBD, extra GI diseaseTreatment: Metronidazole 200mg PO BID for 7 daysConsent has been given by the client to proceed with this treatment  -  Yes/No Plan: Monitor at homeRecheck if diarrhoea does not improveScripts Needed - Yes or NoRevisit needed - Yes or No - ____ Days pleaseHistory-Update:Consent has been given by the client to proceed with this treatment  -  Yes/No Reason: Nurse: -vaccination -heartworm -worming -flea/ticks Exam: Lab: Assessment: Treatment: Plan:    Vital Signs    Weight: 19.5;