C10003169 / invoice 10000

04/03/2026 DATE/TIME of CONSULTATION: 19:07hrs, Wed 04/03/26

CLINICIAN: EH

PRESENTING COMPLAINT: drooling and off food 

HISTORY:
- no v+ but only ate half of his breakfast this am which is not normal for him. normal faeces. urinating fine.
- drooling this evening and not interested in dental treat, still wanting to play with his ball and seems to have normal energy levels 
- Diet: "Be frank" kibble, and fruit - mango flesh and some watermelon 
- doesnt really eat random things on a walk, but will eat his own faeces 
- os have had rat bait on the house, no access (behind a ledge in a cupboard), and mice have been gone for 3-4 weeks duration, is possible he ate a dead mouse but not seen doing this 
- does like his food and the BC dog brother and him will compete for food at dinner/breakfast time reg
- parasite prophylaxis - given y'day am (wormer)
- no travel 
- have not had any caustic substances around the house 

CLINICAL FINDINGS: 
- BAR, pink moist gums, CRT 1-2 secs. Lip smacking.
- HR 90, reg no audible murmur detected 
- Chest clear norm BV sounds all 4 quads RR 18
- laryngeal/tracheal palpation no reaction on pinch and nsf 
- abdo comfortable NSF on deep palpation
- t 37.9, normal faeces on rectal 
- oral exam nsf, minimal tartar on carnassials 
- LN wnl 
- eyes/ears nsf
- BCS - 6/9

PROBLEM LIST:
- nauseous, suspect has been v+ today

DIFFERENTIALS:
- open, metabolic - DM?, dietary indiscretion, FB, neoplasia, other

OPTIONS PROVIDED:
- recomm trial maropitant and if v+ through the injection or not eating in am, represent here or at reg vet 

DIAGNOSTIC TESTS:
- PEx only

TREATMENT:
- maropitant 1mg/kg 7:45PM

CLIENT COMMUNICATION/PLAN:
- bland boiled chicken and rice diet for a few days prior to transition to reg diet 
- represent to reg vet or here if deteriorates or no improvements o/n - next step bloods and imaging