C10001566 / invoice 10000

Reason: EmesisAppointment Notes: Overdue remindersHistory: Patient presented following ingestion of a large nectarine pit within the last 2hrs Otherwise prev fine Examination: Temp: not taken  HR: 140   RR: panting  MM:pink, moist CRT: <2s    Femoral pulse: Normokinetic, synchronous - Mentation: BAR- Thoracic auscultation: No murmur or arrhythmia detected. Normal respiratory effort and clear bronchovesicular sounds.- Abdominal palpation: Soft and comfortable - Oral examination: Mucous membranes pink and moist. No oral lesions- Ocular examination: PLRs present and consensual, normal menace responses and palpebral reflexes.- Aural examination: External ear clean and free from discharge- Otoscopic exam not performed - Integument: NSF - Lymph nodes: Submandibular, pre-scapular and popliteal lymph nodes normal size.- Urogenital examination: NAD - Rectal exam: Not performed - Neurological examination: normal mentation- MSK: able to right, rise and ambulate without difficulty. Normal gait. Assessment: Pit was large enough to potentially cause GIT obstruction Treatment:Induced emesis with apomorphine SC P emptied stomach effectively, retrieved nectarine pitMetoclopramide 0.5mg/kg IM--- 06/03/2026 13:09:07 OBO:Hi Jessica, this is a courtesy follow up from Animal Emergency Centre Midland to see how Rora has been feeling. Call 08 6500 3010 if you have any concerns    Vital Signs    Weight: 10.5;       

Reason: Lathargic At HomeHistory: - Had dental procedure last year - Mike is here today - owner wants a nail clip - Lethargic recently - owner was away started 2 weeks ago - Is a lot better now - Eating fine and goes for walk - Goes for walks at 7am in the morning - No V/D Examination: - BAR lovely dog to examine - Temp 38.1 - Cardiovascular: No heart murmurs - MSK: Walking well on all 4s- Respiratory: Clear lung sounds bilaterally - Abdomen: Comfortable on abdo palpate- Neurological: WNL - HR 120 RR 20 MM pm CRT 1-2s - Dental: Grade 2 dental disease Laboratory: Nil Assessment: Fit healthy patient today No concerns otherwise Temp normal today Treatment: Nail trimmed performed in treatment room today Plan: Owner to revisit earlier if concerned Blood test as next step if patient still lethargic    Vital Signs    Weight: 9.5;       

Reason: Nail TrimNails trimmed with male O holding in treatment room and a lick mat. Nervous and pulls feet away a lot, esp front left, but all nails trimmed and loved her treats    Vital Signs