C09997403 / invoice 10000

IN DAYACRE
Phoned owner

yesterday and today has not passed any faeces, usually very regular with 2 poos a day
Tuesday night had "dog bone" from the butchers in sisters house
Wednesday night and a small vomit, none since
Eating well
Urinating well


CE:
- BAR
- eyes bright and clear 
- mm pink and moist, crt < 2 seconds
- heart and lungs okay
- abdo palp can feel faeces backed up along colon
- rectal - ++ hard faeces with some small rounded bone fragments 


called owner and relayed findings
O consented over the phone for conscious x-rays 
2 x conscious x-rays, no other bone fragments visualised higher in intestinal tract

microlax administered
advised feed soft food
Monitor closely 


Day care came out to inform Taro passed a very large poo approx 10 mins after consult

fully recovered after fish hook

bravecto quantum sc
milbemax x 2 administered in consult

3-5.30pm - ate some sardines from a fisherman box, he said no fishooks - was w Os parents 
V+ and retching with small amount blood in foam since 5.30pm when O picked up ; offered dinner, initially ate and then stopped 

PE: 
Swallowing retching in consult 
MM pink/moist crt <2
T 38.6, HR 112, RR 44

DV conscious x-ray 
- fish hook proximal throat likely oesophagus need lateral to confirm but does not want to lay down 

Discuss O likely need scope to remove 
Butorphanol 0.2mg/kg (0.58ml) IV 7.30pm for transport as quite stressed 

VN to call Medipaws and do handover - 
send hx and x-rays