C09999168 / invoice 10000

Reason: V+ Again. KiAttendees:History:Currently on dermotic for ears Had a vomit last night white foamy and then again today - todays also had her green treat within it Is known to chew up ball pit balls but O throw it out before she can eat it No known access to toxins but does scavenge in the yard Normal stool today Ate dinner fine but didnt want to eat her breakfast Is on lyka and beef mince home cooked UTD with preventatives No coughing, no exercise intolerance, no breathing difficultyNo lameness, stiffness or sorenessNo itching and scratchingBright Alert ResponsiveBody condition score 5/9 Examination:Mucous membranes – pink moist crt <2sOral cavity – clear, no evidence of ulceration, tongue normal, hard palate fineTeeth – grade 0Nasal planum – normal pigmentation and architecture, no crusting, no dischargeEyes – eyelid conformation normal, PLR normal, no chemosis,  no dischargeEars – small amount of brown  discharge, no erythema, pinna fineLymph nodes - normalHeart – normal regular rhythm no pulse deficits, no murmur HR120 Lungs – clear sounds bilaterally, no crackles or wheeze, tracheal pinch negativeAbdomen – comfortable on palpation, bladder normal, no masses palpated, small amount of liquid/gas in intetsines Limbs – all good range of movement, no swelling or pain on palpationNeck and spine – no pain on palpationSkin – no sign of erythema, no alopecia,  Nails – fineAnal glands – not scooting/expressedTemperature – 38.6 Genital region - no masses or swellingsDiagnosis: open: gastritis vs early gastroeneteritis vs toxin vs FB vs other Treatment:Prevomax SC 1.03ml Prokolin bid if she develops diarrhoea Bland diet - chicken and rice or start hypoallaergenic food Plan: FUC 1 daysIf declines then go to emergency overnight If continues to vomit then recommend TAHP +/- xrays tomorrow    Vital Signs    Weight: 10.3;