C10001390 / invoice 10000

Reason: D+, Off Food (New Client)Verified: NoHistory:Presenting for: Mimi, presented for a 2-day history of liquid diarrhoea with possible blood, worsening today, with decreased appetite and lethargy.Diet:- Usually fed Lyka wet food, half packet morning and evening- Decreased appetite over past few days- Did eat some sweet potato before the visit- Owner gives vegetables and treats as wellV/D/C/S:- Liquid diarrhoea for 2 days (starting Thursday), worsening today- Owner reports possible blood in stool (partner not convinced)- Large volume of diarrhoea this morning- Scooting behaviour due to sore bottom- No vomiting observedCurrent Meds:- Tick and worming prevention up to date- Vaccines up to date (due May/June)Lifestyle Risk Factors:- Beach access this week, though minimal seawater consumption observedOther:- More lethargic than usual- Not drinking much fluid- Dental issues noted - yellowing of molar teethExamine:Mentation: BAR, perked up since arrival at clinicHydration: Well hydrated, moist MMBehavioural: Brighter and more alert during Examine, Ears: Small amount of wax present, owner cleans regularlyOral: Dental tartar present on molar teeth, yellowing noted, gr2Tpr wnl Cardiovascular: Normal HR and rhythmAbdominal: Soft, non-painful on palpationRectal: Pink-tinged liquid stool observed during Examine, not completely liquid consistency, not explosiveAssessment:Acute gastroenteritis - possible infectious cause or dysbiosis given young healthy patient with normal temperature and no history of dietary indiscretion or scavenging,Plan:New Meds/Tx:- Subcutaneous fluid therapy administered to support hydration 60ml hartmanns sc- prokolin probiotic with stool binderDiet Recs:- Continue Lyka diet in 4 smaller meals daily- Alternative: barbecue chicken and white rice if not interested in regular food- Maintain bland diet until resolvedAdditional Discussion:- Monitor for worsening signs including continued lethargy, not eating, or explosive diarrhoea- Return for blood tests and possible hospitalisation if no improvement- Dental procedure recommended once gastrointestinal signs resolve- Cost discussed: $85 for fluids, $60 for probiotic, $290 consultation feeClient Comms:- Nursing staff to call tomorrow to check progress- Return if signs worsen or no improvement in 48 hours- Blood tests and potential hospitalisation discussed as next steps if neededDental est sentQuantum info sent    Vital Signs    Weight: 13.5;       

New Client requested hx from West Pennet Hills Vet    Vital Signs