C10000026 / invoice 10000

Reason: Poo & V+ With Blood. O Has PhotosAppointment Notes: Usually a GH client but no spots free.Just started vomiting today- liquid brown clolourYesterday had 1 poo with jelly with a little blood, 2nd poo was more solid and had a trace of bloodHas been feeding rice and boiled chickenThinks may have vomited because she didnt have enough foodDoesnt seem lethargicDrinks lots of water- normal for herHasnt given worming since being here.Due nowGives Nexgard spectraVerified: NoReason: V+ and diarrhoea with bloodHistory:V+ started today, diarrhoea with blood started yesterdayFirst stool was gooey with blood, second stool was solid with trace of bloodFed bland diet (boiled chicken and rice) as recommended by clinicVomited this morning around 7:15am after eating at 9:30amStill active, approx 70% normal energy levelGood appetite, wants to eatNormally fed Optimal puppy food (purple bag)Recently given new probiotic powder (different brand) which both dogs rejectedPuppy normally eats bugs outside and plays with toysOn NG Spectra monthlyNo other new foods or treatsExamination:BAR in consultMMs: pink & moist, CRT < 2secEars: No odour or significant dischargeCardio: no murmur or arrythmiaResp: Lung sounds clear, normal respiratory effortAbdo: comfortable on palpation, no palpable masses, may be some softer feces presentIntegument: NADLNs: normalAssessment:Gastroenteritis, likely dietary indiscretionColitis with fresh blood in stoolPlan:Pro-Kolin 3ml BID for few daysContinue bland diet (boiled chicken and rice) in small frequent mealsMonitor appetite and activity levelConversation with owner:Advised to continue bland dietExplained that fresh blood in small amounts is common with colitis and not overly concerningReturn if not eating or becomes lethargicDental pricing information to be emailed to ganbulad@yahoo.com.auDiscussed worming schedule - monthly until 6 months of age, then E3M for tapeworm with NG Spectra covering other intestinal worms    Vital Signs    Weight: 11.6;