C09987635 / invoice 10000

*****************EMESIS CONSULT****************
Date/Time: 2100   1/3/26
Clinician: Kelly Hedrich
presented for ingestion of dental floss , ingestion within 1hour of presenting to GAE.

Prev health concerns: Nil
EDDU prior to ingestion: Yes
vaccination and worming: UTD

PHYSICAL EXAM:
CardioV: HR 88bpm, regular sounds & rhythm, mm pink, moist CRT <2secs
Resp: RR panting, regular effort & sounds
Neuro: BAR

PROBLEM LIST:
ingestion of dental floss

CLIENT COMMS/TX/PLAN:
permission given for emesis
emesis induced using apomorphine tablet dissolved into left conjunctival sac
emesis successful and produced partially digested dry food and dental floss
flushed eye and reversed using metoclopromide 0.3mg/kg SC

DATE/TIME of CONSULTATION: 21:21hrs, Sun 25/02/24
CLINICIAN: BLT
PRESENTING COMPLAINT: not wagging tail
HISTORY:
noticed that Gilbert is not wagging his tail. appeared painful. 
Was outside in the garden. 
Happened about 3 hours ago. 
not vocalizing, no other issues otherwise. 

CLINICAL FINDINGS:
BCS: 5/9
Demeanour: BAR. 
Eyes: clear, BAR, symmetrical, no discharge
Oral cavity: WNL
Cardiopulmonary: Clear BV lung sounds, no murmur on ausc. 
Abdo palp: soft, comfy NAD. 
MSK: Reacted on palpation of the tail base; dorsocaudal region WNL, ambulatory on all 4s. 
Neuro: reflexes WNL

PROBLEM LIST:
Painful tail

DIFFERENTIALS:
soft tissue trauma vs fracture vs others

DIAGNOSIS:
painful tail

TREATMENT:
carprofen 4mg/kg SID PO

CLIENT COMMUNICATION/PLAN:
Home with NSAIDS. 
monitor ongoing 
RV with regvet INI -further diagnostic work up including X-rays.