C10002866 / invoice 10000

Reason: L3 - OUT- Not Eating, Abdo PainPresented and seen by Dr   Michelle Hahm  @ Time/Date 1437 8/3/2026History:Acute onset of vomiting, lethargy, inappetance - started yesterday AM. Vomited again today. On Feb 6th, has had a similar episode and required inpatient management at GP due to ongoing vomiting and anorexia. Blood work, XR at the time unremarkable. Resolved after 5d of anorexia. Has had a cough that developed in Jan 2026. Started on steroids to good effcect, on tapering every second day of steroids. No further diagnostics for cough, but no further symptoms for >month. Has previous anal gland impaction, O expresses at home reguarly/massages AGsNo changes in diet- on cooked chicken thighs, breasts and mince, no dog foodExamination Findings:General demeanour: QARTemperature: 39.1Cardiovascular: no murmur or arrhythmia, FP synchronous and adequate bilaterallyRespiratory:  no overt bronchovesicular sounds, normal effort, no cough/sneeze witnessed. TFAST negativeAbdomen: soft, doughy abdomen, uncomfortable cranial-mid abdomen, no mass effect. AFAST negativePeripheral LNs: WNLEyes/Ears: NSFIntegument: WNLOral exam: NSF except dental diseaseMusculoskeletal: comfortable on all ROM of limbs, spinal palpation, neck manipulation.  Gait: Normal, no lamenessNeurological: Normal mentation, CN normal, CP x 4 normalRectal exam: DNPVBG% Blood gas table - DOGSPCV/TS:	45/78	Serum - hemolysedBlood gas valuesHct:	50	%pH:	7.407	(7.366 - 7.453)pCO2:	36.0	(29.0 - 51.3)pO2:	31.2	(28.9 - 59.9)Acid-base statuscBase(Ecf)c:	-2.0	mmol/LcHCO3- (P,St)c:	22.0	(17.0 - 24.0 mmol/L)Electrolyte valuescK+:	3.6	(3.6 - 4.4 mmol/L)cNa+:	148	(143 - 150 mmol/L)cCa2+:	1.30	(1.28 - 1.43 mmol/L)cCl-:	108	(112 - 122 mmol/L)Metabolite valuescGlu:	6.1	(4.4 - 6.8 mmol/L)cLac:	2.8	(0.6 - 1.8 mmol/L)cCr:	53	(62 - 105 µmol/L)cTbil:	-	(-20 - 1000 µmol/L)Urea:	2.8	(2.5 - 9.6 mmol/L)Maropitant 1mg/kg SCMethadon 2mg IM Paracetamol 125mg PO  TID for 5dCooked chicken only / bland dietInitial Assessment:Gastritis (primary, dietary indiscretion, GI ulceration vs other) vs pancreatitis vs otherClient Communication:Whilst currently appears stable, may or may not be related to episode last month. To treat symptomatically, but if still anorexic (or ongoing vomiting) by tomorrow, recommend returning as likely will require inaptient management. Plan:Outpatient    Vital Signs    Weight: 11.2;       

Reason: CAR    L4- Possible Anal Gland AbcessPresented and seen by Dr Sachin Naidoo    @ Time/DateRegular Vet:Presenting Problem: History:Noticed yesterday that Had seemed irritated a couple days Had anal gland issues in the Had been scootingNo medications currentlyAte this morning Examination Findings:General demeanour:Temperature:Cardiovascular:Respiratory:Abdomen:Peripheral LNs:Eyes/Ears:Integument:Oral exam:Musculoskeletal:Gait:Neurological:Rectal exam:Initial Assessment:Initial Plan:Laboratory:Radiographic Findings: Ultrasound Report: Current problems:Differentials:Prognosis:Treatment:Referring Veterinarian Communication: Daily update emailed to referring vet : YES/NO Time: Client communication:    Vital Signs    Weight: 10;       

	Animal Referral Hospital EssendonP: 9379 0700   F: 9379 9020resultshistory@animalemergency.com.au     Patient ID:  63811           			 1 of 1    			Animal Referral Hospital   ____________________________________________________________________________________To:	 Essendon Veterinary Clinic		 89 Buckley Street	 Essendon  3040	P: 9375 1039  F:   E: essendon@nvcvets.com.au	Patient Update Monday, 29 January 2018 14:29 Client and Patient DetailsPatient	ClientName: Tofu	Name: Debbie NguyenPatient ID: 63811 	Client ID: 45578Species: CanineBreed:  Maltese MixGender:  MaleAge:  7 Mos. 4 Wks. 0 Days	Address: 48 Cumberland Street          Sunshine  3020	Phone: 0406 634 432Revisit examination:Tofu had a joint lavage of the right elbow on 22/1 for septic arthritis. He has been treated with systemic cephalexin. The owners report that since the joint lavage, Tofu's lameness has improved significantly. At today's examination he is walking well with very minor lameness. The joint effusion has improved significantly. I have therefore recommended continued antibiotics for 4 weeks and a revisit examination at that time. Attending Veterinarian: Dr Simon Kudnig _______________________________________________________________________________________________    Vital Signs    Weight: 7.2;