C10001994 / invoice 10000

DATE/TIME of CONSULTATION: 18:27hrs, Tue 24/02/26

CLINICIAN: EH

PRESENTING COMPLAINT: v+ 

HISTORY:
- ate amazon bag y'day evening, v+ up the paper came in here for assessment (see hx)
- ate some dinner after vet visit (chicken and rice) w encouragement 
- now has developed soft serve d+ normal in colour, had a single v+ this evening but as not eaten since y'day nothing really came up in the v+
- does have a sensitive stomach - will get gut upset easily 

CLINICAL FINDINGS:
- BAR, gums moist crt 1-2 secs
- HR 90, reg no audible murmur detected
- chest clear norm BV sounds all 4 quads
- abdo comfortable on deep palpation 
- t 38.9
- LN wnl
- msk- ambulating well no obvious lameness, full exam not preformed
- integ - nice evan coat, free from ectoparasites 

PROBLEM LIST:
- v+ and d+ post paper ingestion 

DIFFERENTIALS:
- dietary indiscretion likely, cant rule out FB etc 

OPTIONS PROVIDED:
- recomm trial maropitant o/n w bland diet 

DIAGNOSTIC TESTS:
- PEx only

DIAGNOSIS:
- open likely dietary indiscretion related gastroenteritis post envelope ingestion y'day - had glue on it etc

TREATMENT:
- maropitant 1mg/kg sc

CLIENT COMMUNICATION/PLAN:
- bland boiled chicken and rice for a few days and monitor closely, if haemorrhagic d+ starts or v+ through the maropitant represent 

DATE/TIME of CONSULTATION: 17:57hrs, Mon 23/02/26
CLINICIAN: jv
PRESENTING COMPLAINT: ate amazon packaging envelope (only paper, no plastic liner) about 1 hour ago
vomiting 3 times - progressively less material, last vomit only bile
been fine prior and since
recent dental


CLINICAL FINDINGS: Mentation: BAR HR: 108 RR: 24 MM: p, sl tacky CRT:  1.5s Temp . not taken
bcs 4.5/5
tolerating deep palpation

PROBLEM LIST:
FB ingestion and vomiting

DIFFERENTIALS:
stomach empty vs. some remaining
OPTIONS PROVIDED:
suggested monitor vs. can induce further vomiting but unlikely to get more up

CLIENT COMMUNICATION/PLAN:
may get diarrhoea - monitor appetite
if furhter vomiting/off food/lethargy then r/v

DATE/TIME of CONSULTATION: 18/6/22

CLINICIAN: Dr Emma Hargrave

PRESENTING COMPLAINT:Swollen face around nose

HISTORY: Has been staying at sister in laws house today a few hours ago his face started swelling up, 

CLINICAL FINDINGS: acute anaphylaxis to face, HR 90, RR 14, chest clear, gums pink crt <2secs
 
DIAGNOSIS: acute anaphylaxis localized to face

TREATMENT OPTIONS PROVIDED: antihistamine, dex, monitor at home. 

PLAN: monitor at home

PROGNOSIS: good