C09987180 / invoice 10000

HISTORY: Admitted By: AR                                                                                   

O rang 8am and said Keats still hasn't eaten anything since his appt yesterday. 
No vomits but just stayed in carrier cage whole night/ morning wouldn't come out. 
Came out this morning to do a wee but went straight back to carrier. 
Still lethargic. No diarrhoea/ stool. 
Barely drinking much. Spoke to LL- she said drop off cat for recheck/ fluids. 

Cat Dropped off 9am. 
TPR completed at time HR 200 To 38.2*C rectally 
Hartmans fluids commenced @46ml/hr for 1 hour then reduced to 20ml/hr 



PRE ANAESTHETIC EXAM:
HR: 200           RR:          TEMP:  38.*C Rectally       MM COLOUR:  Pink    CRT : < 2 sec

PRE GA BLOODS: declined

PRE-MED:
Time: 1400
ACP:  0.02ml     
Methadone:

IV FLUIDS:
Hartmans @ 2ml/kg perioperatively, increased to 4ml/kg during surgery

Anaesthetic induction: 1.2 mls alfaxan/propafol IV, intubated (ET Tube 5)
Anaesthetic maintenance: isoflurane/02

SURGICAL PROCEDURE:

POST-OP MEDICATIONS:

DISCHARGE INSTRUCTIONS:
WEIGHT: 4.64

HISTORY: Chronic Medical Conditions: Nil
Current medications: Nil

History: Was given some pet treats which were sent from England, sunday evening. Started vomiting yesterday afternoon. Started as clear vomit, then pink, then orange bile. Lethargic. Not eating or drinking since yesterday afternoon. Soft motion yesterday
had episode of acute vomiting July last year that responded well to single inj methadone and maropitant at pet ER
he is always more skinny than  his brother and not as good an eater. does occasionally cath lizards

To -  37.8       HR -   160         RR -    40         MM colour:    Pink      CRT: <2sec
Body Score - 4/9 has lost 500 g since last visit in September 2025.

Blood Test: y
Reason: vomiting/abdominal pain
Contact Phone No:

Oral Exam -    Gingivitis -  0   Tartar -    1       Mobility - 0     Abnormalities - 0
Recommendations -

Eyes - n
Ears - n
Skin & Coat - n
Lungs & Breathing - n
Heart & Circulation - no murmur detected
Stomach & Intestines - abdomen feels quite empty, uncomfortable o palpation. No obvious FB palpable.  ddx gastroenteritis vs pancreatitis vs IBD vs FB vs other including lymphoma. Start with bloods , gave inj methadone and maropitant sc . Advised O to rv if continues to vomit today as will need IVF. Advised O FPL won't be back till tomorrow afternoon but if cat has not improved overnight to call the clinic in the morning for bloods we have and advice on how to proceed. Advised may need abdominal imaging.
Reproduction & Urinary - bladder small and soft on palpation - unable to get cystocentesis sample today
Lymph Nodes - n
Nervous System - n
Musculoskeletal - n
Behaviour - n

PLEASE COMPLETE THE FOLLOWING
Client Details Checked               Annual bloods today              Microchip Checked 
Consulting Nurse:                         Reception Nurse:                     Current Pet Insurer
WEIGHT: 4.58

HISTORY: Free one given - receipt uploaded to app - waiting for o to come back in to verify. KC chase up if she has not been back in by 25/11/25. 
14 Jan 2026 05:29:05 pm- verified on app and got O to scan QR Code-ar