C09994441 / invoice 10000

Bloods wnl

Plan:
Monitor 
O contacted ? yes, happy with plan

Reason:  bloods
History: 
hc of brownie injection on 19/02/27
O has no serious health concerns at home 
Sees waves for desensitisation injection
Current medications: none

Examine: 
Mentation: BAR
Body condition score:5/9 
MM:   pm             CRT: <2s
HR:  100              RR: wnl
LN: wnl
Temperature:ne due to demenour 

Ocular: nad
Oral/Dental stage:s1-2
Ears: nad
Cardiovascular: no murmur/arrythmia
Respiratory: nad
Gastrointestinal:comfortable 
Integumentary & lumps (measurement, location):nad
Musculoskeletal: nad
Urogenital: nad
Neurological: nad

Problem List:
Bloods post brownie ingestion
Assessment: 
GHP bloods recc to see if liver values have decreased

Treatment: 
1ml of desensitization given sc 
Plan: 
pendign ghp
On-going medications required: Y/N (use prescription tab for further supply):

Followup: 

Reason:  
History: 
Gastro and AG check
Was in the kennels Sat day and night. Came home Sunday morning, only in for one day due to wedding and being home late. On his return home Milo drank a whole bowl of water and D+ the whole day
Had some old pro-kolin (expired a few months) which owner started him on yesterday.
Had the same food in the kennels but Milo is particular and usually doesn't drink from anywhere but his water bowl.

D+: Little drops, like choc milk. Going quite frequently. No blood or mucous. No D+ today, stools this morning soft but formed, can be picked up
No V+

Eating and urinating normally. Drinking increased.
Owner reports is brighter today

Current medications: had left over prokolin, peptosyl.

Examine: 
Mentation: BAR
Body condition score: 5/9
MM:     PM           CRT: <2s
HR:       1020         RR: wnl
LN: wnl
Temperature: 38.4

Ocular: nad 
Oral/Dental stage: grade 2
Ears: nad
Cardiovascular: grade 3 heart murmur
Respiratory: normal lung sounds
Gastrointestinal: soft and comfortable
Integumentary & lumps (measurement, location): nad
Musculoskeletal: nad
Urogenital: nad
Neurological: nad
Rectal: no masses or strictures, both AGs full but easy to express

Assessment: 
Acute onset D+
- ddx: stress colitis vs infectious vs other
- starting to improve already, still BAR and eating well

Treatment: 
Continue with prokolin BID until 24h normal stool

Plan: 
Recheck if no better or V+ develops or inappetant

On-going medications required: Y/N (use prescription tab for further supply):

Followup: