C09993371 / invoice 10000

Reason: Possible GDVHistory:O reports Kodi has been unsettled most of the night - pacing, staring blanklyShe felt abdomen and at home and was concerned Kodi was tense and bloated, but on arrival to AEC says abdomen is now less bloated than it wasNo V+ D+, no retching noted.Hx of indiscriminate eating. Has had bad HGE requiring hospitalisation beforeNo current ongoing health issues. Examination: Mentation:  BARHR:  80   	RR: 24	   MM:   Pink + Moist 	CRT:   <2s	FP:   Strong and SynchronousBCS:   6/9T:  38.3EYES:   Normal conjunctiva, sclera, and cornea; lens clear; nil discharge E/N/T:   Nil lesions/ discharge notedCVS:   No murmur or arrhythmia, pulses strongRESP:    Normal BV sounds bilaterally, normal resp effortGIT:   Soft and Comfortable, no masses palpated, no fluid waveRECTAL:   Normal stool, NSFU/G:   Bladder soft + comfortable, external genitalia NSF, prostate normal size on rectal exam. MSK:   Ambulating x4, no overt abnormalitiesNEURO:   Normal mentation, normal gait; full exam not performed SKIN:   Skin tent WNL, NSFLN:   Peripheral LN palpate WNL Taking treats without issue in consultLaboratory:AFAST -> Nil FF, spleen NSF, unable to visualise GB (very long rib cage)TFAST ->  Nil pericardial effusion, contractility subjectively appears WNLAssessment:UnsettledNo specific findings on exam or POCUSTreatment: Trial paracetamol 10mg/kg (500mg tab) PO q 8-12 PRNPlan:If deteriorating at any stage, advised O can represent to AEC, or if later in morning should visit RV for further testingDiscussed radiographs only way to definitively exclude GDV, but I have never seen a dog with bloat eat, and so very unlikely    Vital Signs