C09987267 / invoice 10000

Reason: V++   KaHistory:Presented for acute onset V+ today. Had about 3 V+ so far, first one was at about 11.30am. They all seemed watery with a bit of food. She also seemed a bit flatter this morning (like hiding under the furniture and not greeting O when she got home), but has since perked up a bit. Occasionally will eat grass. Not a known scavenger/ FB eater. No access to bins/compost. But on further questioning O did feed her a bit of leftover fatty steak last night. No D+ seen so far (had 2 normal stools this morning)Examine:Behaviour: BAR  Slight worried but lovely dogBody condition score:  4/9Eyes/ears: nadTeeth/mouth: G  0-1/4, Pink moist MMChest: No audible murmur, Light pantingAbdomen: nad on palpationUrogenital: nadLymph nodes: Submandibular LNs nadSkin: nad Locomotion: Walking normally, full MSK exam not performedNervous System: nadSmall amount soft faeces on thermometer probeAssessment:Acute onset V+, mild lethargy- Ddx: Most likely Gastroenteritis/pancreatitis until proven otherwiseTreatment: Maropitant inj 0.59ml SCPlan: No need for recheck unless not improving/worsening- I'd expect her to not show any further signs of V+/nausea in next 24 hours. Feed only kibble/ cooked chicken breast (no treats for next few days). Be very careful about giving her any fatty food from now on. Ok for O to pick up Prokolin paste (without another consult) if Angel develops D+ in next few days.    Vital Signs    Weight: 5.9;       Temperature: 38.0;