C09983360 / invoice 10000

Reason: V++Appointment Notes: Overdue remindersHISTORY:Presented for lethargy, inappetence, and anorexia since this morning. One V+ overnight. A scratchy cough was noted this morning. One episode of vomiting containing a small amount of blood was reported. The owner reports no abdominal rumbling or gassiness. Diet consists of Prime100 SPD beef and carrot but was given some chicken last night. No faeces seen today.Pre-existing conditions: noneCurrent meds: noneVaccination: UTDParasite Prevention: NexGard Spectra. Last dose 29/12/2025.Examination:BCS: 4/9Neurological: BAR, appropriate mentation. Cranial nerves appear normal. Full exam not performedMucus Membranes and Hydration: MM pink, moist, crt<2. Euhydrated.Rectal Temperature: 39.5 anxiousCardiovascular: HR 140, cardiac auscultation normal, no murmurs, normal rhythm.Respiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal discharge.LNs: normal size, NADDental grade/oral exam: C1G0. No obvious masses.Eyes: Pupils symmetrical, corneas clear, no ocular discharge or pain. Full ocular exam not performed.Ears: no stenosis, erythema or discharge. Otoscopic exam not performed.Abdominal palpation: soft, no palpable masses/FB/organomegalySkin: Normal hair coat, no lesions or hair loss.Musculoskeletal: ambulating normally, Full exam not performedUrogenital: No swelling or discharge, NADRectal: soft orange brown faeces on gloveDemeanour/Behaviour: Anxious during examination.DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Dietary indiscretion/allergy due to chicken vs other acute gastroenteritis vs otherASSESSMENT:Tuppence presented for acute onset lethargy and inappetence with two episodes of vomiting. Examination revealed a mildly elevated temperature, likely secondary to anxiety. The primary suspicion is a mild gastroenteritis, potentially triggered by dietary indiscretion (chicken)TREATMENT:Maropitant given SQPLAN:Advised to tempt with a small meal in one hour. If tolerated, offer small, frequent meals.Monitor faecal output. If diarrhoea develops, commence over-the-counter probiotics.Re-present if clinical signs worsen or fail to improve.--- 04/03/2026 10:02:38 AM TRC:Examinations - Resolved -    Vital Signs    Weight: 6.8;