C10000930 / invoice 10000

DATE/TIME of CONSULTATION: 19:01hrs, Mon 02/03/26
CLINICIAN: BLT
PRESENTING COMPLAINT: Dog bite attack
HISTORY:
bitten by a big dog around the neck. 
Did not realize until they were at home. 
Puncture wound visible
Not on any meds currently. 
No other concerns otherwise and no other concurrent disease

CLINICAL FINDINGS: Mentation: normal; HR: 180bpm; MM: pink +moist; CRT: <2s.
BCS: 5/9
Demeanour: BAR. 
EENO: WNL
Cardiopulmonary: Clear BV lung sounds, no murmur on ausc. 
Abdo palp: soft, comfy NAD. 
MSK: ROM WNL
Neuro: Reflexes WNL
integument: linear open wound,approx 1cm, SC exposed. 

PROBLEM LIST:
Bite wound on dorsal neck. 

OPTIONS PROVIDED:
1. clip and clean, staple and outpatient tx. 
O consents. 

DIAGNOSTIC TESTS: nil
DIAGNOSIS:
bite wound on neck

TREATMENT:
1. clipped and clean, single staple applied on neck. 
2.home with Meloxicam 0.1mg/kg SID PO; Amoxicilin 20mg/kg SID PO

CLIENT COMMUNICATION/PLAN:
Staple removal in 2 weeks with regvet. 
O to place e-colar if patient interfering with wound. 

DATE/TIME of CONSULTATION: 01:40hrs, Fri 03/10/25
CLINICIAN: MM

PRESENTING COMPLAINT:
24 h history of inappetence and multiple vomiting episodes (?4–5).

HISTORY:
Vomiting started yesterday; still eating but less enthusiastic.
No diarrhoea; passed normal faeces this morning.
Up to date with vaccines and worming.
Previous dental/tooth abscess treated months ago.
Diet: mainly dry food (Black Hawk), lamb/beef with veggies and brown rice, frequent snacks/treats.
No known toxin or foreign body exposure.

CLINICAL FINDINGS:
Bright, alert, very bouncy/happy.
TPR within normal limits.
Abdomen soft, non-painful, no palpable masses.
No other abnormalities noted.

PROBLEM LIST:
Acute vomiting (mild, self-limiting at presentation).
Inappetence.
High-fat diet (lamb/ treats) — potential GI/pancreatic trigger.

DIFFERENTIALS:
Dietary indiscretion / mild gastritis.
Mild pancreatitis or hepatobiliary irritation (diet-related).
Early GI obstruction/FB (less likely given normal PE and passing faeces).
Other metabolic causes (less likely currently).

OPTIONS PROVIDED:
Symptomatic treatment with antiemetic and bland diet trial.
Diagnostics (bloodwork/ imaging) if persistent or worsening.
Dietary advice (low-fat, balanced diet).

DIAGNOSTIC TESTS:
None performed today (owner opted for symptomatic management).

DIAGNOSIS:
Acute self-limiting gastroenteritis vs mild dietary-induced gastritis.

TREATMENT:
Maropitant injection given in clinic.
Advised bland diet for next 24 h.

CLIENT COMMUNICATION/PLAN:
Monitor appetite, vomiting frequency and demeanour.
If vomiting persists or worsens in 24 h ? recheck with regular vet for bloodwork ± imaging (rule out pancreatitis/hepatic/GI disease).
Discussed dietary modification: avoid high-fat foods/lamb snacks; consider balanced commercial diet.
Return if lethargy, ongoing vomiting, abdominal pain, or anorexia continues.