C10001528 / invoice 10000

Reason: Nurse Triage - Vomiting Blood 5+ TimesAppointment Notes: mh - was booked in for 3pm skin/ear recheckHx: Started vomiting 4am this am constantly vomiting bile and then some blood flecks. Active retching. In consult coughing. At home was not coughing. Diet: Lyka various meats. Some other treats /pig's ear/ lyka snacks. Nothing new. Mardarins in yard. Unlikely eaten non-edible things. No day care in 7 days.  UTD ngs Drinking/ eating well. No heat yetPrevious hx: Vomiting jan 2026- given cereniaLast week started apoquel/ dermotic AU.Meds: ChlorhexApoquel - last tab last nightDermotic AU last dose last night. Ears more comfortable.PE: QAR, lying down in consult, HR 120, tracheal sentivityHR 120, RR pant, Cough and vomit red liquid38.2FlatDiagnostics: Bloods nadCytology ears- nadUltrasound abdomen- no fb. Full report to followLateral chest rads- no esophageal fb. Assessment: coughing/ vomiting- most likely kennel cough vs primary vomiting. Tx: IVF hartmanns 1.5 xmaintenance. Cerenia 1.3mls IV. Plan: treating for KC. Montior for lethargy/ not eating could be sign bacterial chest infection. Comms: --- 07/03/2026 14:36:51 LD: ok for scans and $%700 estimate to r/o fb--- 07/03/2026 16:03:25 LD: left message to let her know that may not be ready at 4:30. Will call when finished.--- 07/03/2026 16:57:24 LD: booked 5:30pm discharge. Relayed no obvious fb. Treating for kc at this stage.    Vital Signs    Weight: 13.3;       

Reason: RashAppointment Notes: Online booking. EDHistory: Discharge in ears - started ear degunker from chris brown - first noticed some gunk in ears 2-3 weeks ago  - groomed fridayScabs on neck Belly pinkPhysical Exam:BAR nervouse Paws unremarkableEars ++ discharge in horizontal canal unable to see TMs, cyto yeasts ++ AUBelly vetnrally and caudally and ventral neck are pustules and epidermal collarettes - sticky tape prep - neuts +++ occaisonal cocciAssessment: Likely atopy, possibly food given onset <12MOPlan: Recheck in 2 weeks    Vital Signs    Weight: 13.5;       

Reason: Eating Grass Frantically, Has Vomited W Huge AmounAppointment Notes: after, is still trying to vomit ebHx: 2 bit vomits today. Vomited in consult (lots of grass and bile). 1 vomit during the week. Eating grass frantically this afternoon. Never done this before. 10 days ago had diarrhoea post chicken treats. Poos have been good. Unsure poo consistency today. Was eating some wood in the garden this afternoon. There are Mandarins in garden. May have eaten some of these? Unlikely scavenged on walk as monitor her. Less likely to have a foreign body but...Does eat tissues. Was chewing on peg today owner took off her. Missing some undies?Diet: changed to lyka 1 week ago various meats. New treats this week. Overdue ngs this mth. Drinking/ eating well. No heat yet PE: BAR, euhydrated, BCS 3/5, HR 120, RR pant, temp. 37.9EENT: okCardio: CRT< 2, pulses ok. Resp: nadAbdomen: nadInteg: ventral left fore paw redAbdomen: comfortable, no formed faeces. No lameness. Neuro: gag ok, normal metnation Assessment: cv stable. Vomiting- change diet/ new treats, infectious, fb vs other intra/extra GI causesPlan: workup estimate given vs medical management. If continues to vomit tonight got to nevs/ sashINB tomorrow come back for workup.    Vital Signs    Weight: 12.5;