C09991418 / invoice 10000

History: O reported Rocky has  been having reduced appetite for the last few days- O gave a bit BBQ chicken yesterday - start V+ 6 hours later - V+ all night and morn - yellow bile- LethargicPoo rock - hard no smellsCurrent diet: prime 100 crocParasite prevention: Bravecto and milbemax, HW injCurrent medication: pro-kolinExamination: QAR9AM temp - 39.5BCS: 5/9Oral: no visible dental diseaseSkin: lump removal sites - no signs of infection or dischargeCardioresp: no audible murmur, lungs clear, no crackles or wheezesGI Tract: tense on abdominal palpationUrinary: bladder comfortable on palpation, external genitalia appear normalMusculoskeletal: weight bearing all 4 limbs, no stiffness or crepitus-normal ROM on both FLs and HLs-no pain elicited on spinal palpation Neuro: normal mentation, full neurological examination not performedLNs: peripheral lymph nodes are normal in size and consistency, symmetricalEars: no visible discharge or inflammation, no smellEyes: pupils same size & reactive 12PM temp - 40.1--- 05/03/2026 14:09:55 ELN:Hartmanns solution IV - 30mL/hr (5xBW)Temp 40.1125mg Amoxyclav PO3:30PM temp - 39.5Laboratory: Elevated ALP - 751 (129 on Jan 2026)Elevated ALT - 321 (46 on Jan 2026)Diagnostic imaging:Abdominal x-rays: no obvious signs of obstruction POCUS: no overt liver mass or gall bladder sludge, or FFAssessment: 1. Pyrexia with unknown origin 2. Elevated liver enzymeTreatment: Maropitant 0.61ml given IV @ 9:40Amoxyclav 250mg tablet, 1/2 tablet PO BID for 7 days. Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:Recommended IVFT overnight and possible specliast abdo ultrasound.Reason: Client Present:Nurse:Wellness Testing: Urine or Faecal (When done/due?)Vaccination Type:Intestinal worming:Heartworm Prevention:Flea Prevention:Tick control:Microchip:Insurance and Healthy Pets Plus:Behaviour concerns:Current Diet:__________________________________________________________________________History: Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan: Scripts Needed - Yes or NoRevisit needed - Yes or No - ____ Days please    Vital Signs    Weight: 6.1;       Temperature: 39.5;