C10000174 / invoice 10000

Reason: Rat Bait20 mions agoHistory: Reason for consultation: 20 minutes ago, access to rat bait - blue one-- also ate brithday cakeAny other issues: heart murmurMedications on currently - none reportedExamine:-- BCS: 6/9-- Temp: 37.4 -- MM:  pink-- CRT: 2 secs-- Cardiovascular:      -- HR: 110    -- murmur - grade -  2/6-- Respiratory:     -- RR:  16    -- Respiratory effort - No increased insp or exp effort     -- Respiratory sounds - Normal bronchiovesicular lung sounds     ---- Abdomen:     -- Pliable, not painful, no masses obvious on palpation    ---- Oral:    -- Examination: some calculus, blue in the teeth    -- Dental score: -- Eyes:     -- No abnormal ocular discharge,    -- No conjunctivitis    -- normal sclera,     -- Pupils symmetrical.     -- Retinal examination normal.     -- Lens normal position and normal opacity.     -- Eyelids normal-- Nose:     -- Normal confirmation    -- No sneezing.     -- No nasal discharge.     -- Normal symmetry. -- Integument:     -- Clean coat,     -- No dermatitis or skin lesions present.    -- Normal skin turgor    -- No fleas or externa parasites    ---- Ears     -- Left ear - normal canal with no discharge. Normal pinna    -- Right ear - normal canal with no discharge. Normal pinna-- Lymph Nodes:     -- all palpable external lymph nodes normal size and shape-- Musculoskeletal:     -- Ambulatory with no lameness.     -- Joints palpate normally.     -- Normal musculoskeletal exam    ---- Neurological:     -- Mentation - BAR.     -- Normal CN function.     -- No ataxia noted.     -- Normal neurological exam     ---- Rectal exam: -- Reproductive:     -- n/a (de-sexed) -- Behaviour: no problems-- -- Problem list: 1. Acces to rat bait2.3.Plan: Quote/EstimateRecheck normal vet - 2-3 days for coagulation checkDiagnosis:Rat bait Treatment:Induced vomiting with apomorphine - successful with some  blue rat sac in the vomitMetomide 0.5mg/kg s/c givenStart vitamin K as a precaution - 12.5mg sid    Vital Signs    Weight: 7.65;       MMColour: pink;       Temperature: 38.5;       CRT: <2 sec ;