C09996385 / invoice 10000

Hx IOP 2 weeks, O hasn't given any parasite prevention and unsure if breeder gave anything Chews bark/stick, O cautious to keep socks/other possible FB away. No known scavenging/access to toxins. 2 vomits today with kibble, then 2 with green material this afternoon. Lethargic this afternoon.Not on tick prevention to Os knowledge Normal stool, no D+, last defaecation observed this morning. PEBARMM slightly tacky, pink, CRT 1-2s, no prolonged skin tentThoracic ausc NAD. HR 120. Normal bronchovesicular sounds. Abdo palp- comfortable, no palpable FB, firm faeces palpable in colonPeripheral LN palp NAD Rectal- some small sticks/plant material in faeces. Stool formed. Assessment Recommended bloodwork given age + lethargic at home or spot glucose + PCV/TP as minimum. O ok'd pre-anaesthetic profile. Bloodwork- HCT 31.9- likely age related - Mild monocytosis, lymphocytosis - mild hyponatraemia- likely secondary to V+Tx prevomax 0.59 ml SCAssessment Acute V+Ddx dietary indiscretion, parasitism, bacterial/viral gastroenteritis, FB Is eating raw meat + may not be UTD with worming so parasitic/infectious cause possiblePlan If V+ continues overnight + other deterioration- present to AREC/SASH or EMVC if within operating hours. Next steps faecal analysis/x-rays. O to feed cooked mince, small meals frequently. Advised need to transition onto a balanced diet- recommended large breed puppy food, RC or Hills, transition over 2 weeks if GI signs resolved. Discussed starting Nexgard Spectra or Simparica trio + 3 mo wormer     Vital Signs    Weight: 5.9;       Temperature: 37.8;