C10000830 / invoice 10000

Reason: Blood In Stool - Mucsy - NO Vomitting A Little LatDiagnosis: Subjective: Owner reports:- Acute onset mucoid soft stools with spots of blood this morning (bristol stool score 6/7)- Had a bout of foamy vomit after eating as well- Lethargic this morning - not having zoomies, but demeanour back to normal after getting onto car- Had puppy preschool yesterday - No access to toxins- Has a habit of picking things off the ground but O only saw him eat a leaf yesterday Appetite: Eating wellDiet: Purina Puppy foodDrinking: Drinking normalUrination: NormalDefecation:- Mucoid soft stools this AMDesexed: NWorming: UTDHWP: UTDFlea prevention: UTDOther medications: NObjective: Mentation: BAR, very easy dog to work with, very brightHR 140, pulses strong and synchronousRR 32Temp 38.6Euhydrated, no skin tent, MM moistEyes: Clear cornea, no dischargeEars: Healthy, clearOral Cavity: Deciduous teeth presentThoracic Exam: Heart and lungs sound normalLymph nodes: Small, normal, symmetrical Abdomen: Soft, comfortableReproductive: NILSkin / Coat: HealthyFlea Comb test: NILPerineal / Ag's : NormalRectal Exam ( > 7yo) : Rectal exam unremarkable, diarrhoea on digital examGait / Extremities: Normal ambulation Assessment: 1) Haemtochezia + soft mucoid stools2) Vomiting 3) Lethargy DDx: - Parvo - clinical picture does not match. No abdo pain, bright, euhydrated dog. Vaccine done 2 months ago, possible maternal abs interference, but less likely. - AHDS due to acute gastro insult - more likely, with habit of picking up stuff of the floor- Extra GI causes - less likely considering signalment, but cannot be r/oTreatment: Maropitant 1mg/kg SC Plan: - Offered conservative management (since Posto is clinically normal) vs investigation + hospitalisation - O elected for former- Bland diet ongoing for next 3-5 days: poached chicken + porridge- Offer plently of water or plain chicken broth to ensure hydration status- Monitor for: more haemorrhagic diarrhoea, worsening d+ and v+, deteriorating mental states/energy levels- Sent faecal sample out to check for parvo in the meantime- FUC tomorrowFUC arranged for +   days    Vital Signs    Weight: 2.45;       MMColour: Pink, moist;       Temperature: 38.6;       HeartRate: 140;       RespirationRate: 32;       CRT: 1-2s;