C09997011 / invoice 10000

Reason: VomitingHistory: Mrs O present - Vomited 5 times this morning; last vomit was about 2hrs agoWent for a walk at 6am - sometimes picks up stuff on the grass; not seen doing it but has chewed/eaten dried frogs beforeVomitus was morning breakfast and grass/phlegm; no plastic or paper in vomitAbout one hour ago, her eye was red and she was lethargicPoo this morning; looked normalGave her a carrot at 10am but vomited that againMay have chewed up toys?Supplement omega 3 and joint suppllement for past 1.5months.Diet: Royal canin golden retriever twice daily and regular carrotsNo known access to toxins; no known dietary indescretion; not fed tablescrapsIndoor habitExamination:Very boisterous and vocalBCS6-7/9Coat condition good; skin turgor wnl'sEyes bright and evenEars clear and cleanGums pink; omm moist; crt>2Very minor tartar; no bad breath; no ulcers or wounds found in mouthLn's ok; neg tracheal pinch; panting++; hr120-140; nmaBig and bouncy to palpate through abdomen but no pain focus identified; no fluid wave or organomegalyWb x 4; no lamenessTemp 38.5degPR - formed soft stool sitting in rectum; normal colour, containing carrot and some grass; no blood or mucusVulva is noninflamed; desexedAssessment: Acute vomitingTreatment: 3.1ml Maropitant S/C; Oralade; no food tonight - resume food in morning.Plan: If vomiting is persistent then bloods/imaging required.    Vital Signs    Weight: 30.7;