C09993086 / invoice 10000

Reason: AdmitSHIFT CHANGE: 2100-0700VET: Dr Megan MartinsASSESSMENT: QAR, vitals WNLAbdominal palpation comfortable without analgesiaClinically hydratedProfuse brown diarrhoea (thickshake consistency) in early morning, no blood or mucusEating wellDIAGNSOTICS:CBC: mild neutrophiliaBiochem: low amylaseABL: mild hyperglycaemiaPCV/TS: 45/72TREATMENT PLAN:Commenced pro-kolin BIDContinue Hartmann's @ 5% rehydrationConsider discharge in AM if still comfortable and eating, and diarrhoea stable    Vital Signs    

SHIFT CHANGE 0600-1200VET:Dr Lara Opat Day of and reason for hospital treatment: Day 1 - Diarrhoea EXAMINATION:Mentation - QARCardiovascular status - 100, no murmur/arrythmiaRespiratory - 28, no murmur/arryhmia detectedAbdo -   comfortable on abdominal palpation Nutrition - Ate 4 tbsp gastrointestinal diet - ravenous ASSESSMENTAcute Diarrhea -primary GI (diet, infectious, inflam, FBO) vs extra GI (toxic/metabolic/endocrine) TREATMENT PLAN: D/C IV medications Pro-kolin 6ml BID CLIENT COMMUNICATION: Discuss stable and eating well in hospital - discharge booked for 12:00VetCheck sent with D/c informationTIME:VET:    Vital Signs    

Reason: She started acting strange, diarrhoea and walkingHistory: Was fine when O got home from work. Had some diarrhoea last night but this morning seemed OK. WAs reluctant to walk this evening. Normally excited for dinner, wasn't today. Ate but after went straight to crate. Had explosive diarrhoea.  Not sure if blood- was too dark outside for O to seeNo vomitingAt sister in laws over the weekend, unsure if could have had different food. Had different brand of food for 1 meal. If gets tennis balls or rope will destroy/ eat them. Has chewed her bed. No current meds. No medical hx. UTD with vax and worming.Physical exam:QART: 39.1HR: 120bpm., no murmurs or arrhythmias auscRR: 60bpm, no abnorm auscMm: pink, slightly tacky, crt 1sAbdo pap: moderate pain on palpation, no masses or fluid palpatedLN: WNLRectal: diarrhoea, no blood. Assessment: Lethargy, diarrhoea. DDx: Dietary related VSinfectious cause, FB less likely. Plan: Hosp, IVFT, bloods. Discussed may reccommend imaging in future INI/ worse.    Vital Signs    Weight: 26;