C09984533 / invoice 10000

Appointment Notes: Potentially ate corn cob.Vomited 1/4 of one this morning. NRHistory: Vomited around 5am 1/4 of a corn cob. No further V+. Did a normal poo @8:00am. Hx of indiscriminate eating - will eat ANYTHING. Ate some grass after the vomit this morning. Otherwise BAR. O fed breakfast after the v+ and scoffed down. Still very interested in food now.Examination:BAR, very excited and energetic HR 100-120, RR pant, Temp 38.6, CRT <2sec, MM pinkEyes clear, no blepharospasm, positive PLR, menace response, palpebral reflex. Ears cleanGag reflex present. No FB in throat or under tongue. No murmers or arrythmias. Clear bronchivesicular sounds on all lung fields. Firm, round object palpated in abdomen (feaces??) Ambulating normally. Good ROM all joints, no spinal pain, WBx4.Integument NAD, no ectoparasites. Neurologically appears sound. No FB on rectal, soft faeces present. Treatment: (could not restrain for xrays - O consented to sedation) Sedated using butorphanol 0.3mg/kg (0.22mls), medetomidine 20ug/kg (0.15mls) and midazolam 0.2mg/kg (0.3mls) IM @11:45Reversed using atipamazole 0.15mls IM @ 12:00Diagnostic imaging:Left, right and VD abdominal views:- Moderate gastric distention with lots of ingesta in stomach - multiple moderately gas distended small intestinal loops in mid abdomen- Two gas populations present - Segmental loop distension - 2x round object vental abdomen in small intesines. Assessment: DDx - partial FB vs full FB vs gastritis vs other Plan: Offered O 2 options: 1. Referral to pet ER for abdo US and possible exlap2. IVFT here for rest of day, send home tonight, and recheck xrays tomorrow AM. Discussed w/O how very early presentation and cannot confirm if indeed obstructed just yet and would be ok to send home tonight and reassess tomorrow but gold standard referral. O happy for refferal to QVS stafford for further assessment.     Vital Signs    Weight: 7.6;