C09992958 / invoice 10000

IDEXX results received - 5/3/26

915 
 bloods and O will bring in poo sample.

Consultation -

Subjective:
Seen for :

- Still has ongoing diarrhoea
- Very BAR, has good appetite, no vomitting
- Diarrhoea started about a week after Zaz was adopted from the breeder 

Objective:
T 39.3, PR , RR , MM pink, CRT <2s
Body condition: 4/9
Thoracic auscultation: No murmur or arrythmia, respiratory rate and effort WNLs, no adventitial sounds.
Abdominal palpation: Soft and non-painful, no distension or fluid wave
Eyes: Clear, no discharge. Pupils even with normal PLRs and menace.
Ears: Clean with no discharge or erythema.
Mouth: Grade 1 calculus, grade 1 gingivitis
Integument: Healthy haircoat, no lesions or masses
Musculoskeletal: Ambulatory with no lameness
Neurological: BAR, cranial nerves WNLs
Rectal exam: Not performed

Assessment:

- Chronic diarrhoea

Plan:

- Bloods taken for tahp
- faecal pcr sent off

Bloods last performed:

Dental recommendation:

Focus for next visit:

Next point of contact:

ABU
giving prokolin twice a day since friday. O is having to bath him mulitple times a day as he is still having D+++ 
Wanting to know what else they can do?

- Spoke to O this morning, says that Zaz has been taking the prokolin twice dialy since Thursday but that it has not improved his diarrhoea 
- recommended she bring Zaz in with faecal sample for faecal float + bloods --> should we not see anything concrete on faecal float happy to go ahead with faecal PCR
- O has also changed Zaz over t Blackhawk kitten - done this relatively quickly so there may be an element of dietary indiscretion occuring now aswell 
- O alos mentioned that she has bought some more cat grass but that Zaz isnt eating it