C09990493 / invoice 10000

HISTORY
Presented for on and off diarrhoea for last few weeks. Known sensitive stomach.
Had recurrent bouts of pancreatitis as a younger dog. 
A few weeks ago chewed another dog's bone. Not come good since. 
Been on Chicken + Rice + Pro-kolin for a few weeks. When formed poo O stops pro-kolin and keeps chicken + rice. D+ a day after. 
O not adding in any other proteins. 
Today V+ twice. 
3d ago V+ 3x.
- Still drinking and eating well. Good energy but maybe a bit sad during the day. Still going for walks etc. 

D+ less than 5x a day. When really bad can be 3-4x at once. Goes from solid to complete liquid. Mostly like gel. 

Diet: prime 100 kangaroo kibble + rice + chicken (breast/liver/spinach). + Prime 100 Kangaroo. Gets frozen chicken bones every few weeks. 

Parasite control UTD. 

Diet issues: Beef, lamb, pork. Good with chicken, Kangaroo and Salmon. 



EXAM
HR 80bpm, no m/a
RR pant
Temp not taken
Abdomen slightly tense
MM pink
Integument soft mobile subcutaneous lump just medial to the caudal aspect of the right elbow. FNA=fat. Approx 1x1cm. 

ASSESSMENT
D+ ddx GI (dietary +- IBD >>>>other). vs extra GI (pancreatitis vs endocrine >>>> other).
lump- lipoma

PLAN
Monitor lump. Recheck if growing. 
Change to hypoallergenic diet only + Pro-kolin. Once solid stools stop pro-kolin + start protexin capsule probiotic. If still solid slowly add in other elements of diet every few days. 

COMMUNICATION
As above

HISTORY:
Walking in park, jumped off a bunch seat, right hindlimb got caught in the gap between slats
Lame on RHL since then, initially could not put any weight on at all, then placing a little bit of weight on it
EDDU normal
History of food allergy and pancreatitis
No medication
Presented for: got leg trapped at the park, limping but still weight bearing

EXAM:
Mentation: BAR
BCS: 5/9
Hydration status: hydrated
Eyes, Ears, Nose: NAD
Mouth: NAD
MM: pink CRT<2
CV: HR: 110 BPm, no Mo rA
Resp: normal rate, effort bv sounds
Abdo: soft, non-painful
MSK: painful on RHL medial thigh proximal to stifle, mild pain on stifle (but suspect referred from above), reduced ROM of hip extension, baring teeth when touching around mid femur/medial thigh, no palpable fracture. weight bearing in consult

ASSESSMENT:
RHL lameness, pain on medial thigh - ddx Soft tissue injury vs other

PLAN:
Meloxicam SID PO 0.1mg/kg for 4-5 days
R/v INI 

COMMUNICATION:
as above

SUBJECTIVE: possible bee sting
MAtt and carmel presented Sammy today for having jumped up acutely, Matt found a bee in the coat
UTD with preventative health products and vacc
Reservoir Vet Clinic
no v or d
no obvious reaction or swelling
acute chewing of the limb

OBJECTIVE:
BAr, mm pink and moist, CRT<2
eyes and ears NAD
HR 120, RR panting
abdo 0soft
t 38.7
limbsNAD
skin and coat NAD
BCS 6/9

ASSESSMENT:possible bee sting

possibly bee got stuck in the coat
o. took dying bee out of coat

PLAN:
niramine 1 ml s/c 
RV if any concerns, previous anaphylaxis suspected
COMMUNICATION: