C09985093 / invoice 10000

Reason: V+ & D+Appointment Notes: shHistory: For the past 1-2 weeks has been whimpering at night and panting.- Also was restless at night in this time, which has worsened in the past 2 nights.Ate Soil on Friday. - Had a vomit this night and had soil in it.Then started vomiting yesterday, vomited twice after lunchDidn't give her dinner or breakfast today, just chicken broth.- Put small strands of chicken in the broth and she took this.- Has been looking for food but opted to keep fasted for now.Stools started to get sloppy on Saturday.Had watery diarrhoea overnight, appears a level of faecal incontinence- Had blood streak through diarrhoea last night. None since.No more vomits since yesterday at 2-3ish- About an hour after being given chickenHas been flat, though her energy is improving a little today.Gave her ondansetron last night and this morning.Examination: BAR, BCS 7/9Behaviour- Friendly, timid- More tolerant to handling todayMM pink and moist, CRT<2 (last night at home MM tacky)Lns NADHeart rate 110bpm, regular rhythm and soundsLung sounds clearAbdomen soft and pliable- caudodorsal discomfortT 38.6Assessment: Vomiting, diarrhoea with mild haematochezia, hyporexia, lethargyDdx: Colitis (secondary to soil ingestion vs infection vs other) vs pancreatitis vs otherPlan:Blood sampled for level 3 in-house testing + CPLAdministered maropitant 2.6ml s/c at 2:00pmRecommend continue bland feedingRecommend re-commence prokolin PO BIDPlan pending blood results.    Vital Signs    Weight: 26.1;