C09998928 / invoice 10000

Reason/concerns:  

History:
- D+ ongoing for 3d (first started on Monday) - frequency has reduced, gone from liquid to semi solid. D+ was verydark but no coffee ground looking, no blood or mucus 
- Today has V+ once - large volume 
- Did want to eat brekky this morning (wouldnt eat biome, had a couple of normal kibble)
- Diet: biome diet 
- Energy mostly normal past few days, only this afternoon had reduced energy and not drinking 
- When getting off couch today was very sore on HL and a bit weak/wobbly,. 
- No access to toxins 
- N access to not food 

Pre-exisitng Conditions / Medications: Nil 
- Pro-kolain 
- Prev on carprofen for OA but stopped after GIT issues 

Examine: 
Mentation: BAR
BCS:                     7      /9   
MM: Pink          
CRT: 1-2 seconds
HR:             90                beats/min
RR:                 pant            breaths/min
Temperature:       38.6       degrees Celsius

Ocular: No abnormalities noted on cursory examination of both eyes.
Oral/Dental stage: x  gingivitis and calculus observed. Gx/4 dental disease. 
Ears: No abnormalities noted on cursory examination of both ears.
Cardiovascular: No audible murmur or arrhythmia and no difficulty hearing the heart. HR = PR and no evidence of hypoperfusion.
Respiratory: Respiratory rate and effort considered normal for the patient.
Gastrointestinal: No abdominal pain. No masses or abnormalities palpated.
Rectal normal: no blood, semi formed faeces present 
Integumentary: No significant abnormalities.
Musculoskeletal: Weak gait, no obvious lameness.
Urogenital: No significant abnormalities noted during routine physical examination.
Neurological: No evidence of neurological impairment or altered mentation. Detailed neurological examination not performed today.
Lymph nodes: Within normal limits for mandibular, prescapular and popliteal examination.

Problem List:
Acute D+ and V+ 


Patient Assessment: Mild dehydration, patient still BAR and stable in consult. Ok to go home for monitoring, but if deteriorates will need hospitalization. 

Diagnostics performed (i.e. bloods, radiographs/ultrasound, ear cytology, urinalysis):
- GHP = wnl 
- Lactate = wnl 
- CRP  = mild elevation 22

Treatment with medication dose rates (if any):
- Maropitant inj 

Client Communication & Plan: 
- Ruled out many systemic/metabolic diseases w bloods - still yet to rule out FB or GIT/IBD. 
- Can switch to paracetamol for pain of OA 
- Continue on pro-kolin 

On-going medications required: Y/N (use prescription tab for further supply):

Next check up date: CP tomorrow 

Reason: Courtesy phone call / CP
Nurse: RS
History: Still has small amount of dia ++
     Demeanour: BAR
     Eating/ Drinking: All good 
     Toileting: Weeing is fine, dia++ still going on 
     Any concerns? O is not concerned 
     
Treatment:
     Medications being given: Was on Carprofen has stopped that now 

Assessment: O would like Dr Lauren to dispense some probiotics for P please

Pls find attached results from idexx received on 4/3/2026 - RS