C09988511 / invoice 10000

Presenting complaint - O has been away for 5 days until Tuesday, has been taken care of by dog sitter (normal routine). Less interested in food yesterday (kibble, bone broth and sardines), but still ate dinner. Experienced multiple bouts of diarrhoea overnight, last bout 6am this morning. No V+, Drinking normally. still BAR

History:
- EDDU:D+
- d/v/c/s: D+
- Other pets/Travel Hx: None
- Current medications: Pimobendan 5mg BID
- Vaccinations and flea/worming tx: No history taken

HR: 120
RR: Panting
Temp: 38.1
MM/CRT:  Pink, <2s
Demeanor: BAR
BCS: 7/9
CV: NAD. No m/a auscultated
Respiratory: Normal resp effort & lung sounds bilaterally
Abdomen: Soft & pliable, no pain response observed upon palpation
Eyes/nose: Clean, no discharge, redness, or other abnormalities noted
Ears: Clean, no discharge, redness, or other abnormalities noted
Teeth: Grade 2/4 Gingivitis, plaque on molars 
Integument: Clean, healthy coat
MSK: Ambulatory. Normal gait.
Urogenital: No redness, swelling or discharge noted around penis/vaginal or anal area
Neuro: Normal mentation. Full neuro exam not performed
LN: wnl

Assessment:
GI upset/gastroenteritis vs pancreatitis vs neoplasia vs other

Treatment:
Prokolin + bland diet

Plan: 
Tgh with prokolin and bland diet for 5 days, will contact to check in on how going
Monitor for progression of clinical signs, return if any vomiting or lethargy - consider bloodwork on revisit

KMS - O called back and was updated with above
         - no other concerns

KMS - lump histopath results = fibromatous epulis (benign, sx margins not clear)
         - Plan: monitor closely for recurrence. May require repeat sx
         - Tried to call O with above results and plan however O did not answer the call. Left a voicemail.