C09993926 / invoice 10000

Reason: Ate Magic MushroomsHISTORY:Owners presented with Rooney tonight due to concern she may have ingested psychedelic shrooms (psilocybin) They did not witness her ingesting them - but rather saw her chewing on the plastic bag that contained it and the bag itself was chewed up. Shortly after this - she acted erractically at home - doing zoomies, vocalising, not being herself. Owners think onset of symptoms was around 30 mins after possible ingestion but unclearAs she was not settling down at home - owners elected to bring her in, in case she has ingested the shroomsEXAMINATION: BAR, anxious, vocalising HR 80, RR pant, Mm pink/moist, CRT <2s, Temp not takenWeight = 20.4kgBCS 5/9 Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronous Respiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal discharge Neurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gait Musculoskeletal: ambulating normally, no palpable neck, spine, limb or joint pain Gastrointestinal: - Abdominal: no detectable pain on abdominal palpation, normal gut sounds - Rectal: no detectable abnormalities, faeces: Urinary: NSFReproductive (incl ext genitalia): NSFIntegument/Ears: NSFLymph Nodes: peripheral lymph nodes normal Eyes: NSFPROBLEM LIST: Possible shroom (psilocybin) ingestionASSESSMENT: Presents CVS stable. Vocalisation and agitation noted at home apparent here during consult. Timeframe from possible ingestion and onset of clinical symptoms often at least 30-60 minute period - so based on history provided, it is less likely that the symptoms observed are from the effects of the shrooms but rather other possible causes. However, given risk of neurological symptoms secondary to possible shroom ingestion, decontamination via emesis and subsequent actiaved charcoal administration performed. Concerning agitated symptoms resolved by the time of ingestion of activated charcoal here in clinic - for this reason, owners have opted to monitor at home as opposed to hospitalisation overnight TREATMENT: Induced emesis with 1x 6.5mg apomorphine tablet TMS   >> Productive emesis, brought up dinner from 2 hours ago, unable to differentiate from the shrooms Metoclopramide 0.5mg/kg SCActivated charcoal 3ml/kg PO single dose here PLAN: Monitor at home - any concerning symptoms (agitated, vocalisation, hypersensitivity, panting, vomiting) to return  - expect symptoms to resolve within 6-12h period if truly ate the shroomsCLIENT COMMUNICATION:Recommend emesis due to potential risk for ingestion of the shrooms Owner query about dog sedatives for home - advised if she  truly has symptoms (or will develop symptoms) due to ingestion of shrooms, i would not recommend oral medications to go home due to risk of aspirationDiscussed hospitalisation overnight for monitoring of symptoms (with IVC) and intervention if required (i.E. Sedatives or other) As Rooney appeared back to her normal self following emesis and whilst eating food with AC - owners elected to take her home to monitor Advised to return if symptoms recur overnight    Vital Signs    

Reason: Ate Corn CobHISTORY:Rooney got into owner's bin tonight and eaten a freshly cooked corn cobEXAMINATION: BARHR 100, RR pant, Mm pink/moist, CRT 1-2s, T not takenWeight = 18kgBCS 4/9 Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronous Respiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal discharge Neurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gait Musculoskeletal: ambulating normally, no palpable neck, spine, limb or joint pain Gastrointestinal: - Oral: normal, no mouth pain, dental score (1-4): - Abdominal: no detectable pain on abdominal palpation, normal gut sounds - Rectal: no detectable abnormalities, faeces: Urinary: NSFReproductive (incl ext genitalia): NSFIntegument/Ears: NSFLymph Nodes: peripheral lymph nodes normal Eyes: NSFPROBLEM LIST: Ingested whole corn cob ASSESSMENT: Decontamination via emesis performed - brought up single corn cob as described by ownersNothing else ingested confirmed by ownersReversed with metomide No further treatment required TREATMENT: Induced emesis with redivom 1.8ml SC  >> productive emesis, brought up food and single large corn cobMetoclopramide 0.5mg/kg SC PLAN: No further treatment required    Vital Signs