C09983657 / invoice 10000

Appointment Reason: Vomiting, Appointment Notes: Paws App Details:Booking Type: ConsultationBooking Notes: Vomiting, increased respiratory rateHISTORYChalky presented today for vomiting but also has an increased respiratory rate. Had a fainting spell on monday but he recovered from this - RRR normally around 30 but that day it was around 80 - ever since it is betwen 30-45. In the last week he is also vomiting and not eating great (always was a picky eater but seems worse). Only had some roast chicken last week . Also had some diarrhea - darkbrown with a bit of mucus. Is drinking and weeiing constantly. is doing fine otherwise, no health concerns at the moment. lost 250 grams since last visit.Is on roast chicken currently and catfood.Previously diagnosed health conditions: MMVD stage B2 (Mitral valve thickening and prolapse, severe mitral regurgitation, marked left-sided volume overload). Current medication: cardisure 0.25mg/kg po BID (vetmedin 1.25mg BID), frusemide 5mg BID. No relevant history or sickness.is UTD with vaccination and is on nexgard spectra preventative monthly.CLINICAL EXAMINATIONGE: bright + alert + responsive, BCS 4/9a: 24/min CA, p: 100/min strong and regular no murmur, temp 37.0, mm pink and moist CRT<1s, skin normal, lnn normalheart/lung auscultation normalabdominal palpation normalteeth perfectly clean. good occlusion.ears/eyes clean.musculoskeletal/neurologically no abnormalities.no ticks/fleas found.TEST RESULT SUMMARY-PROBLEM LIST-DEFINITIVE DIAGNOSISdx: healthy and fit for vaccinationPLANPrimary Diagnosis/ Suspected Diagnosis/ Location:  CHF, vomiting, diarrheaSuspect cause: MMVD stage CAny other conditions being treated (if any): noneKnown health concerns: MMVD stage CDate of first clinical signs (if known): vomiting/diarrhea since yesterday, MMVD/CHF since feb 2025    Vital Signs    Weight: 2.35;       RespirationRate: 24;       HeartRate: 100;       Temperature: 37;