C09992560 / invoice 10000

Reason: recheck diarrhoea History: Nurse NF: Last poo 11.30pm- size of palm, fairly loose, soft serve, jelly like.Released anal glandsKeeps licking around bottom and under tailWednesday night had bad gas.Some poos between sat and now were some semi formed pos but goes back to soft.Hasnt eaten since 7pmNo food or water todayOnly eaten i/d since sat and a small amount of chicken.Sleeping more today- didnt come down today and normally would come down to mum.Crying for food last nightUrinating as normal, hasnt been today thoughNot a stressy dog at home, quite relaxedSHA:Ongoing diarrhoea for approx 2 weeksLast bowel movement 11:30 last night - palm-sized, loose, jelly-like consistency with strong odorAnal gland issues with leaking and strong smellExcessive gas, particularly strong 2 nights ago, less frequent last nightStarted Hill's ID food and probiotics on Saturday with minimal improvementOccasional solid pieces mixed with mushy, jelly-like stoolDiet consists of Hill's Science Diet adult mobility biscuits, occasional plain steamed chicken and boiled riceGets 4Cyte for joints but hasn't been given recentlyHistory of eating debris from garden including soil and sticksFabric pieces sometimes found in stool from chewing towels/blanketsNo V+ reportedEnergy levels and appetite normal - was crying for more food last nightNormal urinationWeight stable at 48kg7.5 years old, desexed malePrevious ACL surgery July/AugustHolds L leg up when resting but walks normally once movingExamination:BAR in consultMMs: pink & moist, CRT < 2secEars: No odour or significant dischargeCardio: no murmur or arrhythmiaResp: Lung sounds clear, normal respiratory effortBCS: overweightAbdo: soft stool palpable in colon, comfortable on palpation, no palpable massesMSK: holds L hind leg up when stationary, walks normally when movingIntegument: NADLNs: normalAssessment:Chronic diarrhoea not responding to dietary management and probioticsRule out underlying gastrointestinal dzPlan: Admit to hospital for bloods and abdominal u/s Specialist Ultrasound Admission FormHas your pet eaten in the last 12 hours?: No Please tick other services you would like us to provide during your pet's procedure. Additional charges may apply of which you will be advised.: Nail trimProcedure details : Rn usPhone: 02 4647 6951Is this the preferred contact number? If not, please complete below: NoPrimary contact phone number: 0432788178Estimate : 1300View full form at https://api.vetcheck.it/share/AU_bb9ca37e-9ca6-4f0e-9e8c-aa4deea5125cLaboratory: PCV 56% clearALT 129ALKP 786Lipase 2256 Imaging: RGN: abdominal ultrasound examinationFindings:1. The liver is more asymmetrical than normal with small left liver and normal to enlarged right liver; normal gallbladder2. Normal spleen, kidneys, adrenal glands, urinary bladder3. GIT has normal wall layering - colon contains echogenic material with fluidInterpretation:Colitis.Atypical hepatic morphology - variant of normal - no significance if no significant hepatopathy evident biochemicallyPlan: Continue i/d food until d+ resolves then gradual transition back to normal food If d+ returns then consider ongoing i/d Metronidazole 10mg/kg BID 5 days Synbiotic long termConsider addig in psylium husk if persisting Follow up call 09/03    Vital Signs    Weight: 48;