C09993366 / invoice 10000

Reason: Seizure? Treatment AreaAppointment Notes: BGConsult Time: 22:45History: - Full mouth extraction on 26/02- fentanyl patch active currently.- Hx of bruxism, full work up including abdominal ultrasound which was unremarkable. Dental pain though to be cause so went ahead with full mouth extractions.- Tonight placed her in the litter tray- urinated and defecated, strained a little- Brought her back into bedroom and she started yowling and then collapsed and looked like trying to run and then seemed very out of it would have lasted around 10s, seemed more alert by time got here- Rescue cat. After surgery last year had an episode where she flopped to one side with paddling and seemed to recover.- Also presented to AEC for yowling and open mouth breathing early am 26/2- settled.- Had been eating and drinking well and home , sleeping more than usual but otherwise ok.Subjective: BARObjective: Temp 38.3       MM  pink          CRT <2s         HR 160       FP Strong and synchronousBCS:   4/9                  Pain Score (CSU):   0/4CV:  No murmur auscultated, regular rate and rhythm       RESP: clear bronchovesicular sounds bilaterally. No change to respiratory effort   RR 40GIT:  Comfortable on abdominal palpation, quite a lot of formed firm faeces palpable along colon.U/G:  Bladder soft and not painful on palpationNeuro: alert mentation, no ataxia or weakness. Full neurological assessment not performed.M/S:  No lameness. Full musculoskeletal exam not performed.Integ:  Normal skin tent, no sign of ectoparasites.Ophth:  No ocular discharge or inflammationLNs: peripheral ln wnlAssessment: Unremarkable clinical exam other than some constipation.Recovered well from seizure event.Ddx seizures: toxin vs metabolic vs intracranial.Discussed with owners seizure a symptom not a diagnosis and discussed further testing. She has had full bloods recently so offered just blood gas to assess BG and electrolytes- consented.Laboratory:- pH 7.28 (wnl)- pCO2 40 (wnl)- HCO3 18.9 (wnl)- BE -7.8 (wnl)- electrolytes wnl- slight increase in Ca 1.38 (1.2-1.32)- glucose 8.8 (high)- lactate 3.2 (high)Normal acid-base balanceStress hyperglycaemia and mild hyperlactataemia secondary to muscle activity.Mild increased in Ca not elevated enough to be a cause of seizures.Suspected intracranial cause of seizures.Offered admit for monitoring for further seizures vs monitor closely at home and recheck with reg vet.Owners opted to take her home- they live close by and will return if she seizures again.Discussed that if she continues to have siezures can consider referral and advanced imaging.--- 02/03/2026 14:31:53 PM AZ1:Treatment - Resolved - sent recall txt - am    Vital Signs