C09988613 / invoice 10000

Appointment Notes: AD [Veterinarian : Dr Kobi Batson(No Preference)] -  - Boss (Dog) - Vanessa Timko - 0449905935 - Consultation (Boss hasn't been himself today, has been chewing at feet for awhile and didn't eat dinner tonight) - -Web BookingClient name: Vanessa TimkoContact number: 0449905935Email address: vanessa.timko@gmail.comPatient name: BossReason:Not himself - SP History:Diet - has been fussy, so O started feeding him steakParasite pv - Current meds - NAOver the last few days, O was unsure if he was feeling a bit off. Felt him trembling in his chest last night. Has been chewing his feet quite a bit. Seemed very lethargic last night. Didn't eat his dinner last night. When he got up this morning, didn't go straight to urinate which he usually does, took a bit longer. Was eating grass this morning. Would rather lie there instead of moving around. Goes to the park every weekend. Did v+ white foam ~2d ago. Did have explosive d+ w/ a hard stool in it ~2d ago. Is known to eat silly things that he shouldn't. Grabs things that drop onto the floor. Carries rocks in his mouth, may sometimes swallow them. Examination:HR - 136, strong, rhythmicRR - pant, no audible LRT sounds of concern, URT brachy noisesTemp - 38.8MM/CRT - PM, <2Abdomen - tense throughout abdomen, no palpable masses able to be felt as tense, BCS 5-6/9LN - SM LN bilaterally enlarged, other peripheral LN nsfRectal - prostate nsf, AG mildly filled (expressed), faeces slightly softSkin - no erythema or redness on FLs where he chews Assessment:Adverse food reaction/dietary indiscretion vs FB ingestion vs infectious vs parasite burden vs kidney/liver dz vs Treatment:Prevomax 1.1ml SC inj Plan:Offered abdominal imaging +/- bloods, O declined for now. Will monitor and see how he goes     Vital Signs    Weight: 11.8;