C10002243 / invoice 10000

Appointment Reason: Unwell, Appointment Notes: Paws App Details:- NEW CLIENT -Booking Type: New Client ConsultBooking Notes: Unwell, has been trying to go to toilet since Friday night and can notPet Has your pet previously been treated at another veterinary clinic?: YesPet Previous Vet Details: Park ridge animal hospital Hx: Normally twice daily bowel movements. Friday and Saturday hasn't eaten much, up with her both nights, tries to defecate but no success. Not happened previously. Diet: RC small dog, little bits and pieces as treats. Things can get to - Given cooked steak bone Thursday - looks entire, no bits missing, not given regularly. Drinking water. Off food, ate grass this am, 3 little vomits, grass and saliva. Examination: Demeanour: BAR, nervous, shakingHR: 200bpm, no murmur, normal rhythm (stress, pain, tachycardia - shock/block?)RR: Pant, clear lung soundsmm: pink & moist, CRT <2sEENT: Mild Periodontal diseaseT: 38.9Rectal: fairly comfortable, no faeces in rectum, watery brown liquid, mild enlargement AG, express easilyAbdomen: tense but able to palpate and no masses or fluid wave palpable, no pain on palpation. Treatment: 0.73mL cerenia SQ. Metronidazole 125mg PO BID 5 days. GI food. 0.2mL methadone IM 10:30am    Vital Signs    Weight: 7.3;