C09993779 / invoice 10000

Reason: D+/V+History:- Diarrhoea since Sunday night (02/03/2026). Occurring approximately six times today. Described as brown and unformed (purina score 5). No straining reported.- Vomiting approximately twice daily since Sunday night. Vomitus described as a small amount of liquid with a red-brown mucous. No frank blood noted. Last vomited this evening.- Inappetence. Consumed half of his usual portion for one meal today.- Still behaving like normal, was playing this afternoon - Drinking less than normal - No known changes in diet, however owners suspect might have eaten something unusual during family event on Saturday- Not known chewer of foreign objectsProphylaxis:- Vaccinations: UTD but has had reactions to vaccinations in the past (diarrhoea and vomiting) - Flea, tick and worming: Reportedly up-to-date with Milbemax, though last administration date is unknownPast medical history:- Episode of gastroenteritis approximately two years ago.Objective:- General demeanour: BAR- Cardiovascular: HR 80 bpm, femoral pulses strong and synchronous - Respiratory: eupnoeic, clear lung fields bilaterally. RR 30 bpm - Abdomen: Soft and comfortable on palpation.- Mucous membranes: pink and tacky, CRT <2s - Temperature 38.3C - Rectal exam: Brown liquid diarrhoea in rectum, no blood observed Problem list:- Vomiting- Diarrhoea- Inappetence- DehydrationAssessment:The presentation is consistent with acute gastroenteritis. Vitals are normal and abdomen is comfortable. While an obstructive foreign body or other systemic diseases are less likely given the clinical signs, they remain differentials without further testing. Differential diagnoses:- Acute gastroenteritis (dietary indiscretion, infectious)- Foreign body obstruction- Extra-GI (liver, kidney, endocrine, pancreas etc) Client communication:- Discussed suspected diagnosis of gastroenteritis, but noted it is a diagnosis of exclusion. Explained the ideal diagnostic workup would include blood tests and abdominal x-rays to rule out other causes.- Discussed supportive care plan, including anti-nausea medication, anti-diarrhoeal medication and bland diet. - Advised to seek a recheck with their regular vet within 24-48 hours if no improvement, or sooner if signs worsen. Full recovery may take up to a week or more.Plan:Therapeutic plan:- Dispense ondansetron wafers (4mg TM q12h) and prokolin (3ml PO q12h) Discharge plan:- Feed a bland diet (boiled chicken and rice or a prescription gastrointestinal diet) for a few days.- Encourage fluid intake- Recheck with regular vet if no improvement in 24-48 hours or if condition deteriorates.    Vital Signs    Weight: 7.2;