C10002979 / invoice 10000

Reason: Admit Form Consult1400-2100Iv catheter placedBloods run - wnl except mildly low platelets likely lab errorComfortable on abdominal palpation, anxious, ambulating wellAte chicken No obvious joint painSpoke with owner via phone. Provided an update on Hildegard's status, including normal blood results and clinical improvement (brighter, eating). Discussed the diagnostic uncertainty and two primary options: continued hospitalisation for overnight monitoring versus discharge for at-home monitoring. The pros and cons of each option were explained, including the possibility of relapse at home versus the patient's current improved state. Advised that if discharged and condition deteriorates, to return to the clinic, and the consultation fee will be waived within 24 hours. Informed the owner of the upcoming public holiday and associated increased costs, regardless of the decision made. They have elected to take Hildegard home this evening, around 8-9 pm. Advised to monitor for lethargy, inappetence, or worsening diarrhoea. Confirmed the plan for pick-up.Nurse did discharge owners informed blue staffys shouldn't have chicken due to skin allergies.    Vital Signs    

Hx:- Presenting problem: NQR, seemingly hunched over. Not wanting to stand, not her normal self. Does chew on her hard toy, may have potentially ingested- EDUD: Blackhawk kibble, does not get scraps. Not eating or drinking today. Have not visualised urination or defecation- Current medications: - Pre-existing conditions: Desexed 1mo, - Access to toxins: Unknown, O thinks none CEx:- Mentation: QAR, dull - MM: pk, moist / CRT: 2s- LNN: Peripheral lymph nodes are small and mobile - Optic: Pupils symmetrical and responsive. - Otic: Nil discharge or erythema within the otic canal. - Oral/dentition: G0/4- Cardiovascular: HR 100 = femoral PR, strong and synchronous. No arrythmia or murmurs auscultated- Respiratory: Pant . Clear bronchovesciular sounds bilaterally, respiratory effort normal. Nil nasal discharge- Abdominal: Palpation tense and uncomfortable- Urinary/reproductive tract: Genitalia appears normal - Neurological: No neurologically significant findings, no abnormalities of the cranial nerves, no proprioceptive deficits - Musculoskeletal: Hunched on walk, but no overt lameness of either HL. No abnormalities with palpation and manipulation of spine, limb or joints. Normal relfexes - withdrawal and deep pain - Integument/Coat: NSF- Rectal examination: Mild brown diarrhoea on digit - Temperature: 39.4- Hydration status: % euhydratedProblem List:Inappetence, painful demeanourIntraadbominal dsicomfort, hunched abdomenDiarrhoea Differential Diagnosis: Intraabdominal pain - GI related (gastroenteritis, obstructive), pancreatitis, hepatitis, relating to spey (stump pyo) Diagnostics/Management Plan: Advise admission for bloods (ABL, CBC, biochem), AFAST +/- full ultrasound ------ Hand over to the hospital team    Vital Signs    Weight: 16.4;