C09984348 / invoice 10000

running a few mins late. ASH
Sedate with O in visitation, coming in 8:20

Jarrod 8:45-9 for u/s

recover with O in visitation

Nurse Admit Notes:

Eaten (), Drinking (), Urinating (), Defecated ()
Any vomiting or D+ (hasn't had d+ in the last little bit )
Vaccination (UTD) Heartworm/worming (UTD)
Current medications including time & dose ()
Items admitted with animal ()
Additional owner concerns ()

mm colour pink, CRT < 2sec
Retained Teeth ()
Both testicles descended if male ()
HR (144) RR (pant) 
Pre GA bloods ()  Intraoperative IV fluids routinely included
Tattoo () E.Collar ()
Microchip ()
Consent to photos (Y)
Estimate given (Y)
Notes ()
Admitting nurse (WR ) 


8:38
dom 0.21mL torb 0.3mL IM @ 8:38am

22g catheter placed IV cephalic
propofol IV to facilitate ultrasound- not charged,  pt arrived late and unable to wait for sedation to take full effect 
report pending
relatively unremarkable, formed faeces in colon currently
adrenals wnl 


Client communication;
still waiting on report for exact measurements but no sinister findings today

would recommend  true hypoallergenic diet trial  for 8-12w
other options consider B12/ folate assay or full thickness intestinal biopsies but I would err on the side of a true hypoallergenic trial with z/d or RC hypoallergenic etc first as non invasive and potentially therapeutic as well as diagnostic 
could do novel protein as wel but may potentially be hard to find a truly novel protein
this would mean removing all supplements and treats and rechallenging one by one 

O would still like to feed either raw (goat) or do spd crocodile as has not been exposed to
 that- asked if could then use hypoallergenic kibble as treats - adv prefer to feed one or the other but shouldn't have an adverse response to hypoallergenic kibble so in theory ok. 
re raw feeding- higher parasite risk which may be a confounding factor especially certain types of meat- suggest lightly searing to reduce parasite risk.