C10002692 / invoice 10000

Reason: Walk In Appointment Notes: D+, not wanting food haHistory:Walk-in consultMichael and 2 x schnoodles visiting area from Melbourne, have been here for a week, planning to go home tomorrow. No previous health issues, no known allergies etc. Not UTD with vaccinations - other dogs from same breeder have had severe reactions to vaccination so owner hesitant to do, lives in apartment in apartment in Melb so low risk.Had seemed ok since getting here, was normal yesterday. This morning is very flat, not herself, not interested in food - very out of character. Has had some diarrhoea this morning as well, no vomiting.Yesterday had friend visiting who fed her a lot of roast chicken. No other known scavenging. Has been eating regular dog food, does get some table scraps as well. No known access to baits/toxins. Is mostly indoors, no known snakesOther dog in household is normal. Examine: QARAmbulatoryOral cavity - mildly tacky MM. MM initially pale P, colour improved by end of consultNose NADEyes NADEars NADRegional LNs WNLThroat NADLung fields clear, normal respiratory effort, no crackles or wheezes. Heart mildly tachycardic, regular rhythm, no murmurAbdomen uncomfortable on palpation esp in cranial abdomen, no masses/organomegaly palpated. Nauseous after abdominal palpationIntegument NADMSK NADPeripheral pulses WNL, synchronousRectal - small amount of liquid poo in rectum, no blood/mucousLaboratory: CBC: mild neutrophilia. Mild thrombocytopenia (slow blood draw and clumps on smear, likely adequate platelets) Biochem - mild hyperglycaemia (stress), moderate elevation in ALT (primary hepatic vs secondary hepatic?), mild elevation in cholesterol (breed related vs pathological?), mild elevation in CK, low ALKP and amylase (not clinically significant). Sample error for Ca, P and lipase, repeated tests WNL (Ca 2.41mmol/L, P 1.99mmol/L, lipase 905U/L)QPL WNLCRP WNLRadiology: Abdominal radiographs - stomach empty, minimal SI contents, minimal gas, no FB seen. Other organ silhouettes appear WNL Assessment: Primary GIT disease most likely - dietary indiscretion/intolerance vs infection vs inflammation vs other. Extra-GIT not ruled out (early pancreatitis, primary hepatic, addisons, etc) Plan: 1. Initial medical management here (analgesia, anti-nausea, ABs) then referral to Melb for u/s, 24/7 management in hospital2. Management here - IVFT, analgesia, anti-nausea, ABs. Discussed level of supervision overnight, nearest clinic with 24/7 monitoring is Lake Rd Wagga, will do a/h vet check. 3. Medical management at home - not really discussed as needs IVFT Owner elected option 2 but would like re-assessment at a/h check, if appears brighter/stable at this time would like to pick up to take home overnight. If declines will take to Melbourne overnight.Treatment: IVFT Hartmanns @ 35mL/hr0.45mL buprenorphine i/v0.74mL prevomax i/v22mL metronidazole i/v over 30mins--- 08/03/2026 18:55:05 APR:SR in clinic seeing a/h consult, checked on LailaQAR - bit brighter than earlierMM P + M, CRT 1secHR 88bpm, regular rhythmRR 40bpm, clearAbdomen mildly uncomfortable on palpation - some improvement from earlierTemp 37.4 (has jumper on)No toileting on walk (very hesitent to walk on grass)Sniffed at food but no eating, some lip licking - 4mg ondansetron i/v given--- 08/03/2026 21:19:48 ARC:SR came in to check her, owner meet me at clinic, PE and discussion with ownerQAR but much brighter than beforeAmbulatoryOral cavity - MM P + M, CRT <1secHR 96bpm, regular rhythmRR 40bpm, clearAbdomen - mild discomfort in cranial abdomen, moderate bladderPeripheral pulses WNL, synchronousTemp 37.4CSmall amount of light brown diarrhoea around bottom0.45mL buprenorphine i/vAs does not want to toilet on previous walks here, owner will take for toilet walk when gets home. Owner feels is much brighter in herself now. Owner advised rather than back to Melbourne tomorrow, would like to bring back here tomorrow for a recheck. 8:45am recheck booked with GC and i/v catheter left in place, secured with vetwrap. Asked owner to try and feed small amount of bland cooked chicken tomorrow morning to see if will eat before coming to clinic so can determine if appetite returning.Discussed take-home medications, owner declined at this time as will be back tomorrow and aware likely need re-admit. Will take medication for further treatment once able to stay home. (plan - 1/2 x 250mg metronidazole p/o bid for 5 days, and 4mg ondansetron p/o bid for 2 days)    Vital Signs    Weight: 7.4;       MMColour: Pale P + tacky;       Temperature: 38.2;       HeartRate: 140;       BodyScore: 6/9;       DentalGrade: 0;       RespirationRate: 50;       CRT: 1sec;