C10003213 / invoice 10000

Reason: Not Eating Or Drinking- See Hx And BloodsAppointment Notes: Overdue remindersHISTORY:Presented for inappetence and lethargy. Has not been eating since last night (approximately 24 hours). Had a small amount of water this morning but has refused all food offered, except for two carrot sticks this morning. Owner reports no vomiting or diarrhoea.The patient was seen by a vet yesterday and received an anti-emetic injection. Bloodwork raised concerns re pacnreatitis, hepatopathy.Behaviourally, was restless overnight, moving around on the owner's bed and seemed uncomfortable but would calm with patting. Did not want to be touched. Has bitten the owner this morning.Diet: usual diet is dry food and carrot sticks. No recent changes to the regular diet. Consumed a small amount of cooked salmon on Thursday night (05/03/2026), which the owner noted was a fatty fish.Current meds: pregabalinVaccination: Not mentionedParasite Prevention: Not mentionedPre-existing conditions: Epilepsy.Access to toxins eg. Rodenticide: noneEXAMINATION:Body Condition Score: 8/9.Pain Scale (0-4): 1Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronous, no murmurRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): not graded- Abdominal: Tense on palpation needing muzzle - discomfort vs anxiety- Rectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: NSFLymph Nodes: NSFEyes: NSFDemeanour/Behaviour: Quiet but alert.ASSESSMENT:Presented for inappetence of 24 hours duration and lethargy. Examination reveals abdominal tenderness and tension. Patient is overweight. Given the history of consuming fatty food (salmon) and clinical signs, pancreatitis is a primary differential. Hepatitis is also a consideration. The patient is not clinically dehydrated.Recommended admission for IVFT, abdo u/s. - O declined due to costTREATMENT:Maropitant 1mg/kg SCMethadone 0.2mg/kg SCOndansetron 8mg po bidPregabalin po bidPLAN:Home into owner's care.The owner will trial a low-fat diet (canned food initially, transitioning to dry food if tolerated).The owner is to monitor for improvement. If there is any deterioration, such as vomiting, or if anorexia persists for another 24 hours, the patient should be presented for re-evaluation.The owner will follow up with their primary veterinarian on Monday for further diagnostics, including blood work and to organise an abdominal ultrasound.--- 08/03/2026 08:37:51 AM UCL:Treatment - Resolved -    Vital Signs    Weight: 13.7;       HeartRate: 120;       Temperature: 38.8;       BodyScore: 8;