C09995437 / invoice 10000

Reason: DiarrhoeaAppointment Notes: jmlHistory: Current Medications and Doses:Examine:     Demeanour:    Eyes:    Ears:    Dental:         Gingivitis:    /3         Calculus:     /3    Skin/Coat:    Cardiovascular:     Abdominal:    Musculoskeletal:    BCS: Laboratory: Differential Diagnosis: Treatment: Plan:--- 6/03/2026 10:41:37 AM SM:AAA - Skipped on 15/05/2025Verified: NoHISTORYPresenting for: Chester, a golden retriever, presented for vomiting that occurred around 4AM following an episode of stress from encountering a snake the previous evening.Historical Conditions:- History of pancreatitis with ongoing issues- Previously examined by vet recently with no abnormalities foundV/D/C/S:- Large volume vomit occurred around 4AM- No diarrhoea observed- Episode followed stress from snake encounterCurrent Meds:- Given small amount of medication (unclear if retained due to vomiting)Diet:- Had breakfast this morning and kept it down- Normal appetite and drinkingEXAMMentation: BART: 38.5°CMM: Nice and pink, moistHydration: Well hydratedAbdominal: Very tense abdomen on palpation, no pain response to abdominal touchingDiagnostics: cPL test performedASSESSMENTAcute vomiting - DDx: pancreatitis flare, stress-induced gastroenteritisPLANDiagnostics:- cPL test to evaluate for pancreatitis (results pending in 30 minutes)Additional Discussion:- Stress from snake encounter may have triggered pancreatitis flare- Patient appears stable with good hydration status- Awaiting cPL results to guide further treatment decisionsCPL: negative Likely gastrointestinal upset Administered cerenia injection Monitor at home on appropriate diet    Vital Signs