C10003556 / invoice 10000

07/03/2026 HISTORY
Presenting for: Stella presented for gastrointestinal signs
Presented by Mya (housemate) as Tanya currently on a plane to over east for a funeral 
Historical Conditions: 
Difficult to get a definitive view of recent heat cycle - O said in early Feb had what seemed like a light cycle without any vulval swelling, just blood, however now is back in heat and has been for almost 3 weeks. 
Had been happily eating chicken and rice, but Mya reports this AM is off food entirely 
Had a single vomit on Thursday
Has been possibly drinking a lot this morning but Mya isn't sure
Urinating a normal amount

EXAM
HR: 104 BPM
MM: Pink and slightly tacky
Hydration: Mild dehydration (>5%) based on slightly tacky MM and rectal mucosa but normal skin turgor
Behavioural: Seems like a very sweet dog who isn't feeling very well at all. Non-cooperative during handling, growling when attempts made to collect bloods and perform radiographs. Returns to being very sweet when handling stops.
Cardiovascular: No murmurs or arrhythmias, strong pulse
Abdominal: Tense throughout on palpation
Rectal: Slightly tacky rectal mucosa, no faeces present in rectum
Neurologic: All normal
LNs: WNL 
Oral: NAD 
Ocular: NAD initially, conjunctiva became very red and oedematous after minimal handling so aborted mission
Vulva: Large, with frank blood discharge, no odour - relatively consistent with heat

Ultrasound (warned O's our machine is VERY OLD and I am not a sonographer) - can see bladder is laterally displaced and there are some fluid filled loops in the caudal abdo, cannot distinguish whether pyometra vs intestines/ colon

ASSESSMENT
Gastrointestinal signs - DDx: Given temperature is normal consider dietary indiscretion or other GI (e.g. viral) of primary concern, however,  consider open pyo possible, however unable to investigate further today

PLAN
JE phoned and discussed in full with Tanya on the phone - discuss I am uncertain whether just GI upset or pyometra. Discussed referral for further Dx ($1200-2200)

Diagnostics:
- Blood collection and lateral radiographs attempted but unable to perform due to patient being non-cooperative, would require sedation
- Discussed transfer to emergency centre for sedation as clinic does not have capability for brachycephalic patient sedation today (limited staff)
- Client declined transfer, elected to monitor at home for now

New Meds/Tx:
- Anti-nausea medication (Zofran) dispensed for 3 additional doses (one dose already administered in clinic)

Diet Recs:
- Continue Pro-Kolin
- Continue bland diet

Additional Discussion:
- Monitor closely as patient may improve or deteriorate - discussed uterine rupture as consequence if pyo is long running. JE will send Hx to Murdoch (preferred OOH provider)

07/03/2026 HX SENT to TAHMU 7/3/26 12:30pm CP

07/03/2026 Tanya called upset saying she was expecting the history from us - JE phoned to advise she was going to send through a summary, but in light of what has come out in the nappy any information for what to watch out for will now be superseded by Murdoch's findings.