C09992697 / invoice 10000

Reason: Sleeping More Than Usual, Gone Off Food - NEW CLIE**GAPONLY**History:Diet:purina, cooked chicken and tilly's chicken in coconut, applause tuna and broth (loves tuna and broth) FTW: O gives once am onth on back of neck white and red (from pet shop) Medications:Other: ex feralIs terrified of most people Last 5-6 days been eating lessVery food motivated catGradually changing to different diet Sunday started dribbling in O lapNormally loves under chin rubs and started shying away from them Last night refused dinner altogether-woke O up at 3am-scratching and needed to go to toiletUrinates/poos outside7PM normally comes bolting for treats7:45 pushed open front  door and went to bed, hasn't looked for food10:30 treats on bed to eat-ate a fewThen v+ 2x and did a d+ and listless sinceNo blood in v+ or d+ D+ was loose yellowy/stick brown Only toilets outside-won't go in the yardAt leats once a day sprays as in territory war with other cat in neighbourhood Examine:Very firendly, purring, but when attempting to take temp went feral and bit the student on the left forearm BARBCS 2/5Integument - nad MSK-nad Eyes-nadEars-nad Oral- G2Cardiovascular-nadRespiratory-nadUrogenital-nadAbdomen-soft, doughy abdomenAnal glands-not examinedRectal-not performed T 37.6-once sedatedConversations: Recommended admit for sedation/bloods and antinausea and fluids. O consentedDiagnosis:GI vs extraGI More likely primary GI given unremarkable bloodsSedation: alfaxan 1.5ml ImButorphanol 0.2mg/kg SC Adequate sedation achieved for above Laboratory: CBC unremarkableCHEM mildly low potassium (3.2)Treatment:Maropitant 1mg/kg IVHartmanns rehydrate 7% dehydration  = 19ml/hrPlan:O would prefer to take home tonightPro kolin 2ml PO BID INI in appetite recheck tomorrow likely with ongoing IVFT    Vital Signs    Weight: 4;       

Diagnosis: New Pet RegistrationAppointment date: todayHave you emailed the New Pet Rego? YSubjective: Previous Vet Clinic: Unsure ) neighbour abandoned him)History requested:  History received : Insured:Last Vacc Date :                         Vacc Type:        (Enter reminders for next Vacc date ) Flea Prevention :Worming : Heartworm : Desexed :  yes / no   Date desexed:     (mark as desexed on file)Microchip# :                                         Registry checked: yes / no   (make notes if not under owners name)Assessment : Previous medical conditions :Plan: Leave message for Vets re new patient coming in - message on message schedule for the next day the vet/s are working- all vets in the consulting block of the appt if booked as anyvet- for the specific vet if booked as such =================== VET TO COMPLETE =======================Medications: --Current Medical conditions:-- Assessment:    Vital Signs