C09996469 / invoice 10000

Reason: Potential Twisted Bowl Appointment Notes: stomach distended, was throwing up in the AM HANHISTORY: Vomited at 7am this morning, has been flat since. No current meds EXAMINATION:Temperament: QAR  Eyes: NAD Ears: NAD externally (no otoscopic examination performed) Nares: NAD Oral: NAD Cardiovascular/respiratory: tachycardia HR reg reg Skin: NAD Skeletal: NAD gastrointestinal:  guarding - gas audible abdomen, no marked tympany around stomach , no marked distension Genitourinary: NAD Neuromuscular: NAD Lymph Nodes: WNL Problem List: Vomiting Lethargy RADIOGRAPH:  L/R/Lateral abdomen - refer signal pet report Gas evident in SI, 2.5cm bone density evident in SI , faeces evident in descending colon normal, good serosal detail, stomach normal anatomical position SUBJECTIVE : obstructive FB or passing into colon? TREATMENT: Inj maropitant 1mg/kg s/c PLAN:  discussed with O options - electing to trail antinausea for a few hours and monitoring at home, if continues to vomit/deterioartes ex-lap (either here or 24h hospital)    Vital Signs    Weight: 37.4;