C10000728 / invoice 20000

Reason: Gastrointestinal Problems / Blood Test / Follow UpAppointment Notes: Paws App Details:History: Has been ok on diet Little bit of D+ at the beginning Has been well since this - no vomiting, stools formed Wanting to try her on the RC wet food as re-challenge thinks it's likely chicken No weight loss Little bit less interested in eating Examine: Demeanour: BAR FAS Status: 1 - friendly Ears: NAD Eyes: NADNasal: NAD  MM + CRT: PM < 2 sec Dental Score: Calculus 1/4 Lymphnodes: NAD Chest Auscultation: NMNA. HR 116. RR 12. LSC. Abdomen: Comfortable, no pain on palpation, soft, small bladderUrogenital / Rectal: NAD Temperature: 38.1Integument / Skin: NAD Musculoskeletal: Ambulating well. WB x 4. Neurological: WNL BCS: 5/9Laboratory: PCV- 50TP- 60BG- 7.5ALT and Urea back WNL Assessment: Very likely IBD - has been great since on the anallergenic food, ALT back WNL so likely this was secondary inflammation / hepatitis to IBD Treatment:NIL today Plan: Rechallange with old food --> if reacts consider anallergenic or possible prime 100 long term Discussed bloods in 8 weeks if old food is not reactive to ensure ALT isnt increasing again O happy with plan    Vital Signs    Weight: 2.1;       

Appointment Notes: Paws App Details:Booking Type: Anal GlandsBooking Vet: - Any -Booking Notes: Scooting Pet Insured: YesFor Annual KC only component of the BI C5, if doing full C5 charge under Canine C5 VaccinationReason: AG's but also due for vax - not sr12 which is due in AugSubjective: Has started anallergenic diet trial  - see prev incl recent US Some diarrhoea - prob 2' to transition Is on (prob) bravecrto chews for flea/tickObjective: Mm pink, refil 1 sec, Afebrile, Thoracic Ausc: no audible murmur, normal BV sounds, Abdomen pliable: Integ: Msk:Assessment: FFVPlan: PI2/BSOTalked re BVQ in AugWill review with Ann re diet trial ina  few weeks    Vital Signs    Weight: 2.16;