C10003183 / invoice 10000

Spoke to owner- hervbies appears bright this morning with no further diarrhoea seen since yesterday. eating well and managing hydration without IV supplimentation. Good to go home. Owner to pick up this morning

7/3/26- client comms: seems slightly brighter, has had loose diarrhoea today. Semi interested in food. Radiographs have been perfromed and the plan is to undertake ultrasound and assess intestinal thickening. Plan remains to keep on fluids overnight, prokolin and pain relief and LMc will touch base in the morning with an update.8/3/26- Spoke to mum, seems brighter this morning appetite has increased significantly with roast chicken and i/d intestinal care diet. Is more comfortable within his abdomen. Still has very loose stool this morning and hasn't held hydration particularly well over night. Plan to increase fluids this morning, continue on supportive care a reasses mid morning. Would like see increased firmness of stool and more stable hydration before discharge. PLan to update later in the morning. Client would like discharge today. 8/3/26 11am- Spoke to O, seems to be going well and eating ok. Still has diarrhoea but is happier within himself. Plan to discharge from hospital- but keep as a boarding patient until tomorrow to assess- due to owners having to travel 1hr (if he detriorate having to travel back). Discussed that ideally workup with biopsy to confirm IBD would be useful, however owners are financially limited and declined at this stage. Plan to  trail strick diet trail of hypoallergenic Prime100 SPD Fresh Roll Crocodile & Tapioca for 2 weeks. 

HISTORY:Ongoing diarrhoea and restlessness all night - red brown material coming out. UTD vaccinations. Regurgitation despite maropitant on boardSeems more uncomfortable todaychange diet- 7-10 days ago. EXAMDemeanour: barBCS 4/9Cardiovascular: Heart valves clear, Pulses strong and synchronous, HR 80Respiratory: clear lung fields Temp:37.3MM colour/CRT:  pink, tacky, CRT <2sEars: Externally NADEyes: NAD LN: NADSkin: NAD Abdominal palpation: soft, no pain, no masses appreciatedMusculoskeletal: ambulating well ASSESSMENT/Problem List: Open - most likely GI disease (gastroenteritis, AHDS, dietary indiscretion, IBD, neoplasia) TREATMENT:Admit to hospitalTreament rehydration of fluid 35ml/hr- 5% dehydration on arrival. Reduced to 25ml/hr at 6pmButorphanol 0.09ml IVPanadol 0.46ml PO Prokolin BIDCLIENT COMMUNICATION:- Advised on hospitalisation for rehydration.- Plan for further diagnostic workup- radiographs and ultrasonography- Estimate of $1,800 given and consented to. Work up: LMCRadiographs: loss of serosal detail of abdomen, no FB visibleUltrasonography: mild trace areas of fluid, moderate dilation of intestinal lumen. significant digesta evident moving thorugh intestines- suspet about to have D+ episode.  Intestinal wall measurements appeared normal.  Plan: discharge with prokolin, maopitant at home as needed, paracetmol, and transition onto Prime100 SPD Fresh Roll Crocodile & Tapioca for noval diet trial for suspect IBD.