C10002111 / invoice 10000

Reason: Bloody DiarrhoeaAppointment Notes: has had D+ for 3 days, blood evident for 24 hrs, has trialled pro kolin 48hrs, has just left on normal diet - turkey patties (dog diet),History: Diarrhoea since ThursdayWent to a comp on Friday - working all dayBlood in diarrhoea on Saturday morningPro kolin on Saturday - seemed to improveHad blood in diarrhoea this morning again - fresh blood, but then passed a soft stool Increased frequency of defaecationIs BAR, appetite normal, activity normalHave not changed food to bland diet - fed Turky patties (RAW diet)No vomittingTurkey big dogWorming/Heartworm/Flea control status: UTD - gave NGD spectra todayVaccination status:UTDExamination:COAT/SKIN: good general condition - no dermatitisEYES/EARS: clean and clearMOUTH/TEETH:gums pink with normal CRTHEART: regular rate and rhythm, no murmurLUNGS: clear bilateral breath soundsABDOMEN/DIGESTIVE/URINARY: relaxed to palpate, no bloating or discomofrtCNS/MUSCULOSKELETAL: not exmainedPERIPHERAL LYMPH NODES: nadWEIGHT/DIET: Body Condition Score: 5REPRODUCTIVE: Assessment:Large bowel diarrhoea with mild haematecheziaTreatment:Recomemnd need to switch to bland diet and continue with prokolin for minimum 3 daysCan have short course of metronidazole 10mg/kg BID x 5dINI or worse then bring new sample for faecal examPlan:    Vital Signs    Weight: 11.8;       Temperature: 38.6;