C09997762 / invoice 10000

06/03/2026 NURSE:
HISTORY:still straining to pass stools. bloody mucous. . ate dinner chicken and rice.  vomited a lot overnight, 2am 4am. didn't vomit all of the dinner. not offered breakfast , not as bright and happy in himself as yesterday. 
gets kangaroo tails - last one was a week ago. does hang on to them for a bit
EDFU
-Diet chicken and rice 
Current Meds: synbiotic
-Insurance?
SUBJECTIVE:alert and responsive
OBJECTIVE: T= 38.6 MM pink, tacky CRT 2 sec HR 132= FP RR panting  RESP:NAD
BEHAVIOUR ASSESSMENT:
BCS:4 /9
GIT: reduced gut sounds today ,uncomfrotable caudal abdomen
U/G:
NEURO: 
M/S: 
SKIN: ears Injected. 
OPHTH
OTIC: 
LYMPH/N:
ASSESSMENT:gastroenteritis
Tx OPTIONS:
TREATMENT:
Started IVF therapy and gave maropitant 3.4ml IV
Radiographs performed show intestines bunched towards the cranial abdomen, large bladder and some faeces (vs other) in the colon area. 
STo and recommend sedation to further assess after fluids and ultrasound given the findings
Sedated with butorphanol
URINALYSIS:
MACROSCOPIC
Collection method:
Colour / Appearance:

CHEMISTRY:
USG:          1.014 ( post IVFs)                   pH:6
Protein: -                               Bilirubin:-
Glucose:      -                       Ketones:-
Blood:-
sediment
MICROSCOPY
WBC:      -    /HPF
RBC:     -      /HPF
Epithelial: 10-15 phf
Crystals:-
Bacteria:-
Casts:-
Other:-
VD- shows faeces in colon. no masses, no free fluid,  no FB


---------------------------------------
DE spoke to owner. to go home. continue bland diet and synbiotic. 
recheck at 845 for recheck and remove IVC if doing well. 


PLAN:
DISCUSSION:
-----------
DISCHARGE
Sir Mexico has been an absolute trooper today. HE has not vomited at all since arriving and no diarrhoea. He is still a little dehydrated but brighter in himself in general. Xrays showed an area we were concerned about with a possible foreign body in his intestines. Further investigation shows it to be in his colon on its way out which is good. 
We would like you to continue with Hills gastroenteritis ID diet or boiled chicken breast and rice and the synbiotic. Not other food. 
Plenty of water should be available 
He has been on a lot of intravenous fluids so will need extra toilet breaks overnight. Please monitor his stools and check them as they come out so we can determine if there is any foreign matter and if we can find out the answer for his issues. 
We will leave the intravenous catheter in place overnight and recheck him in the morning. If he is doing well we will give him another injection for the vomiting (lasts about 24 hours) and remove the catheter. If he is not then we will discuss the next steps of treatment. 
If you have any concerns out of hours please contact MASH (Melbourne Animal Specialist Hospital), 1800 838 787. They are open 24 hours and located at 8 Maroondah Hwy, Ringwood VIC 3134.
 If you have any concerns or queries please do not hesitate to contact the clinic