C09997350 / invoice 10000

Reason: Grape ToxConsultation time:History:BIOP sinceEDUD all WNLNil hx previous major health problemsNil current prescription medicationsIngested  xxxxSubjective: BARObjective: Temp       MM  pink, moist   CRT <2   HR     FP=HRBCS:   5/9                       Wt:   kgPain Score (CSU):   0/4Cardiovascular : No arrhythmia or murmur auscultated, FP readily palpable.Respiratory : Normal bronchovesicular sounds in all 4 quadrants, normal respiratory effortGastrointestinal : No pain or discomfort on abdominal palpationMusculoskeletal : Nil discernible lameness, ambulatory Otic: Pupils symmetric, visualLymph nodes : No peripheral lymphadenopathyProblem List:Recent ingestion of  xxxxAssessment: Ingestion of foreign item with potential to cause intestinal fb obstruction. Prompt retrieval of item as described by O via emesis. Nil further complications anticipated. Options Offered to Client:Recommended emesis induction, o consentFollowing rx, discussed productive emesis, recommend careful monitoring, prevent repeat access. O indicated comfortable with this. Treatment:-apomorphine -emesis productive - yielded xxxxxPlan:Confine and monitor Recheck asap if any further concerns =================================================    Vital Signs