C10002718 / invoice 10000

Appointment Notes: Booked Online: 25/02/2026 13:46:40 PMBooking Type: UnwellBooking Notes: Added notes but lost info Owner Name: Stu WhalleyOwner Email: Stuartinkl@gmail.comOwner Mobile Number: 0407770955Pet Name: MaggiePet Species: CatWeb BookingClient name: WhalleyContact number: 0407770955Email address: Stuartinkl@gmail.comPatient name: Maggie  ------- Sms reply: YHistory: Did go through an adoption agency. Has always had a D+ problem. Resolved after last visit when she had pro-kolin, after it finishes it came right back. Owner has tried bland diet, hypoallergenic, prescriptionHas been gaining weight well.EDDU: Eating drinking ok, urinating ok, D+.CSVD: none except D+ Diet: Hills biome GI Dry amd wet. PP: once a month spot on- was due march 1stVACC:  UTD Indoor cat Reason: Chronic diarrhoea for two months.History:Presents for chronic diarrhoea since adoption two months ago.Stools are consistently liquid, occasionally with some log formation. Occurs 2-3 times daily.BAR, appetite is good, no vomiting.Owner has tried multiple diets including a bland diet, Royal Canin Hypoallergenic for 4-6 weeks, and Hills Biome for the last 2+ weeks with no significant improvement.Pro-Kolin was tried and helped firm the stools to logs.Recently introduced a liquidy treat (oily version) 3-4 weeks ago, given once a night, which has been tolerated.Initial problem may have been triggered by wet food (Purina) as per breeder's recommendation.The cat is described as being stressed, particularly by loud noises.Diet: Hills Biome dry and wet food. Previously on an Australian dry food with kangaroo, then Royal Canin Hypoallergenic. Eats any biscuit or wet food put in front of her. Has tried a raw diet once no change in faeces but stopped giving raw Parasite preventative: Is due for a monthly spot-on treatment on the first of each month. Specific product not mentioned.Indoor only Other pets in household: None.Pre-existing conditions: Suspected diarrhoea prior to adoption.Current medication: Pro kolin and finished. Improved on pro kolin but D+ recurred when stopped Weight: 3.4kg (was 2.97 kg at adoption).EXAMINATION:Body Condition Score: 5/9BAR MMs pink 1s mild skin tenting mildly dehydrated Eyes/Nose/Throat: NAD clearEars: NAD clearThoracic ausc: NAD lungs clear, no murmur, no arrhythmia, pulses synchronousOral: clean no tartar or gingivitis grade 0/4. No malocclusionsAbdominal: NAD comfy on palpation, no masses or swellings. No herniasMusculoskeletal: NAD ambulating normally, no palpable neck, spine, limb or joint pain. Hips and stifles good.Integument: Clear, no erythema or dischargeNeurological: NADRectal: not performedUrogenital: NSFLymph Nodes: WNLDIAGNOSTICS:Blood collected for IDEXX for Total Health Profile, Vitamin B12 level, and pancreatitis test.Faecal sample collected for PCR panel.PROBLEM LIST:Chronic diarrhoeaStress/anxietyDiarrhoea/vomiting ddx: Primary GI: acute gastritis/gastroenteritis (intestinal parasites, parvo, bacterial, other virus), dietary indiscretion, FB obstruction (partial vs full), IBD, neoplasia vs Secondary GI: Pancreatitis, hepatopathy, nephropathy, peritonitis, prostatitis, pain, hypoT, hypoA, DKA, drugs, toxins, vestibular dz, cerebral dzHaematochezia ddx: Parasites (whipworm, hookworm), coccidia, dietary (intolerance, allergy), IBD, clostridium, HGE, parvovirus, histoplasmosis, intussusception, coagulopathy, anal sacculitis, neoplasia (adenocarcinoma), rectal polyp, FB obstruction.ASSESSMENT:Four-year-old female cat presenting for a two-month history of chronic liquid diarrhoea. The diarrhoea has been persistent despite multiple diet trials. Physical examination is unremarkable. The main differentials for the chronic diarrhoea include dietary sensitivity/allergy, inflammatory bowel disease, infectious causes (bacterial/parasitic/protozoal), or pancreatitis. A stress component may also be contributing. Diagnostics are pending to investigate underlying causes.TREATMENT:Nail trim performed.Worming tablet administered in consult.PLAN:Await results of blood and faecal tests.If tests are negative, a strict 8-week hypoallergenic food trial is recommended, with no other treats or food sources.Ultrasound may be considered as a next step if diarrhoea persists.Recommenced Pro-Kolin supplement to help bind stools. Dispensed two units.Discussed the possibility of chronic pancreatitis.Discussed that the cat is a 'stressy cat'.Owner has insurance and is aware of the costs for today's procedures ($1,182), consent given. Claim to be submitted.Continue with monthly parasite prevention.Re-evaluation will be scheduled upon receipt of diagnostic results.    Vital Signs    Weight: 3.44;       HeartRate: 140;       DentalGrade: 0;       RespirationRate: 28;       CRT: 1;       MMColour: pink;       BodyScore: 5;