C09993559 / invoice 10000

Reason: UnwellVomited dinner last night and then vomited bile several times over night. No vomiting today.O fed a small amount of chicken at lunch and has kept it down.On a homecooked diet - turns her nose up at a lot of dog food. O also cant drive so struggles to go to pet shop. Hx of gastric issues and pyrexia - responsive to convenia and meloxicam. Examine:BAREyes: clear, no discharge or inflammationEars: clean, no erythemaMM slighly injected moist CRT <2secLN: WNLThorax: HR 160, no murmur, lungs clear, normal respiratory rate and effortAbdomen: soft on palpation, no resentmentMSK: ambulating normally, ROM NAD x4Integument: NADT: 39.7Assessment:PyrexiaUnderlying cause - food allergy/IBD? Vs access to a toxin? Vs disbiosis. Treatment:Convenia inj 0.65mlMeloxicam 0.20mlCommunication:- offered repeat bloods again for monitoring.- advised O both convenia and meloxicam can make some gastric issues worse- discussed diet trail - consider hypoallergenic as comes in wet food, consider SPD novel protein diet. O reluctant as cant drive and struggles to order online. Plan:Recheck if not resolvedRecommended bland diet limit to just chicken    Vital Signs    Weight: 6.5;