C10002859 / invoice 10000

Reason: L3 Not Eating Lethargy Hard Feces Scavenger EDPresented and seen by Dr  LBY   @ Time/DateRegular Vet:Presenting Problem: tenesmus, hyporexiaHistory:Today not wanting to eat or drink, straining to poo passed 2 dark Did scavenge in the garden yesterday Any current medications: noAny access to potential toxins?: scavenge in garden E/D/U/D: hyporexia, reduced drinking Any known conditions: noDiet: Dry and wet, veg & fishPreventatives up to date? Not discussedExamination Findings:General demeanour: BARTemperature: 38.7.Cardiovascular: HR80 NAD on asuc, Pulses strong & sync.. MM pink and moist. CRT<2sRespiratory:RR panting NAD on ausc,  No respiratory effort Oral exam: 1/4 Abdomen: Soft tolerating deep palpationPeripheral LNs: WNLEyes/Ears: Open and cleanIntegument: WNLMusculoskeletal: WNL, good ROM and muscle massGait:No lamenessNeurological: BARRectal exam: No faecese on rectalUrogenital: Soft/ Firm bladder on palpationBody Condition Score: 5/9 Initial Assessment:Client Communication:Discussed options 1. Admit further diagnostics , medications and supportive care, 2. Outpatient treatment trial Laboratory:Radiographic Findings:Ultrasound Report:Current problems: firm faeces, hyporexiaDifferentials: dietary discreation, pancreatiis, GITFBO. Other Prognosis: GoodTreatment:Buprenorphine 0.02mg/kg Maropitant 1mg/kg Plan:TGH to monitor DUDEINI/worsens to return  Daily update emailed to referring vet: YES/NOFinancial update provided to owner: YES/ NO    Vital Signs    Weight: 31.6;