C09990442 / invoice 10000

Appointment Notes: Overdue remindersConsultation time:Hospitalisation period:  History:Presenting problem:Friday night Cash ate his dinner normal. Then owner went out and when got home Cash was outside which is a bit odd. In the morning owner found about 3 vomits in garden. Saturday seemed a bit flat and wouldn't eat anything all day. Sunday seemed a bit better but then started panting heavily tonight. Is drinking today but still not eating-last ate Friday evening. No faeces passed in 2 days. About 2 weeks ago got into bin. Doesnt typically eat FB type things.  Examine:  Demeanour - BART: 39.2  HR: 148  RR: panting  mm: pink     CRT: <2secWeight:  kg       BCS:  /9Cardiovascular - No murmur Tachycardic. Respiratory - Panting. Norma BVS bilaterally. Gastrointestinal - Comfortable on Palpation. No fluid wave felt. Diarrhoea on rectal exam. Urogenital -  nsfMusculoskeletal - Ambulatory. Integument - nsfNeuro - nsfEyes - nsfLymph nodes - nsf     Problem list:Vomiting Panting Tachycardic Inappetance Assessment:Cash is currently stable but ideally would be admitted for diagnostics. Given history of vomiting cant rule out possible developing aspiration pneumonia. Ideally required thoracic and abdominal imaging.  Client communication:Sto about options 1. Admit for diagnostics including thoracic and abdominal imaging and bloods. Treatment as indicated. 2. Trial treatment as outpatient but requires reassessment at GP today. Owner chose option 1. Advised I am concerned about Cash and to come back if there is any deterioration overnight. Treatment: Maropitant 1mg/Kg Sc Buprenorphine 0.015mg/Kg SC Plan:Home to care of owners. Owner have appointment at reg vet tomorrow 11.45am    Vital Signs    

Reason: Was Good On Tabs, Finished TabsAppointment Notes: Thursday night, very sore again, can she have more tabs or r/v- Jenny- 0418215403Advised revst,extended script carprieve til can bring in7/3/17 emailed history to admin@mainridgevet.Com.Au    Vital Signs    

Reason: Hesitant To Walk Up Stairs, Very Tender  on back just above tailS-e/d/u/f nadListless not getting up to greet ownerNo going up stepsO-chest/abdo/eyes/ears/teeth/skin nad temp 39.3 but dog very stressed about being hereProprioception all intactWalking finePain on lumbar spine to sacrumTail nadA-back pain> trauma/ infectious/neoplstic/etcP-discussed with o given fever ideal to run bloods to check for inflammatory leucogram On costs for now o declined and would just like to try nsaids2 weeks of nsaidsRecc ini 48 hours/ off food or warse at any stage rv for further workup21/2/17-jv called o re progress-all great now though was still sore for a few daysO to call back if relpase once meds finish-jv    Vital Signs    Weight: 55.2;