C09983096 / invoice 10000

Reason: Lethargic, Not Herself, Some V+, D+>KSAppointment Notes: O may bring a poo sample. Has gone to snowy mountains vet,hx requested :)>KSHas been on and off for about a week. Owners have a property down snowy mountains they take dogs regularly. Seen at snowy vet on 24/2 and 26/2 for being unwell/odd behaviour. Owners report has been flat, low energy, not herself. Appetite hsa been up and down. Normally an excellent eater. Had 1x vomit 2 days ago and 1x diarrhoea yesterday. Seems a little improved in herself today. Had a fever 39.3 on 26/2. Prescribed meloxicam - presumably cause of vomit/diarrhoea?No known rat baits etc on property. Owners to butcher their own deer and rabbits to feed dogs - dogs are fed raw. Giving tape worming q6w. PEQAR, taking treats happily but seems subdued, low head carriageEyes and ears okOral exam - omm pink. Crt 1 secNAD thoracic ausucltaitonNAD abdominal palpation - no pain noted, as was at prev vet. No organomegaly.Rectal exam - very dark faeces - scant, no formed stool palpable.Temp 38.4No musculoskeletal pain notedSkin and coat NADGood BCS.Assessment:Discussed options - repeat bloods vs continue to montiorOwner feels is generally improved on what she was so elects to monitor a few more daysPlan:Stop meloxicam for nowMonitor closely for any new symptomsRecheck immediately INI    Vital Signs    Weight: 27.1;