C09988307 / invoice 10000

Reason: V+ Gone Off FoodHistory:Threw up a little bit of blood this morning - was seen on the side of her crate and O assumes vomit, too high to be faeces.Has been less interested in her food last couple of days. Has had some wet food this morning, about half of normal. Hand feeding. A week or so ago started eating slower, but still finishing mealsConstipated 2 nights ago. Has defecated since - large piece and then diarrhoea. Has been scooting. No diet change. - Usually a bit slow to eat, but will eat it all usually. Nibbles on dry food at night. Does chew things inside the house. Keep doors shut for this reason. Not known to eat things outside the house. No known rat bait or other toxin exposure. No medsExamination:HR -  140   RR -  panting  Temp -  38.9   CRT -  <2s   mucous membranes - pinkExamine:- Oral cavity - NSF. No ecchymoses or petechiation- Dental Score - 0- Ears/ eyes/ skin - NSF. No signs of bruising- LNs - Peripheral LNs WNLs. - Thoracic auscultation - No audible murmur or arrhythmia, normal bronchovesicular sounds. - Abdominal palpation - Soft, comfortable, no palpable anomalies. - MSK - No lameness observed, complete MSK exam not performed. - Neuro - Appropriate mentation, no ataxia. Complete neuro exam not performed. - Genitourinary - NSF.- Rectal - empty. AGs moderately full - easily expressedAssessment:One off vomit with potential bloodConstipation -> diarrhoeaHyporexia-> open diagnosis at this stageTreatment:Pro-kolin BIDPlan:Bloods if any more blood vomiting or blood in stools noted to rule out rodenticide or clotting issueR/v INI    Vital Signs    Weight: 6.7;       MMColour: pink;       Temperature: 38.9;       HeartRate: 140;       BodyScore: 5/9;       DentalGrade: 0;       RespirationRate: pant;       CRT: <2;