C10003792 / invoice 10000

VETERINARIAN: asrHISTORY:3-4 day hx gastro signs. D+ today now with spots blood small amounts, mucus light brown, incr freq, urgency V+ few times first few days - none today (though on antinauseas) Mild innapatence this AM (normal appetite yesterday), mild lethargy this AM. Big run yesterday at park -> carprofen this AM -> d+ worsened w specs blood1-2 cough last night none today RDVM few days ago - bloods wnl. Home on outpatien supporitve care - initially improved then worsened again today Pre-existing conditions: hip dysplasia, potentally had parvo as puppy Current medications: carprofen (50mg given today) PRN Antiparasitic prophylaxis: utd Vaccination status: utd TRIAGE:HR:  100RR: pantTemp: 37.8MM: Pink, moistCRT: 1 secondsMentation: BARPain Scale (1-4):1 Dehydration status (%): euhydration BCS (1-9): 5 EXAM:? CARDIOVASCULAR:NAD; normal rate and rhythm, no murmurs auscultated, pulses strong and synchronous. RESPIRATORY:?NAD; no nasal discharge, no evidence of increased respiratory rate or effort, bronchovesicular sounds are normal. NEURO:?NAD; normal gait, posture, and mentation; full neurologic exam not performed GASTRO-INTESTINAL:?Oral: Oral mucosa appears normal, no lesions noted. Abdominal: no obv mass, no overt discomfort on abdominal palpation, no obvious masses noted, ? Rectal: Normal feces per rectum, no obvious masses noted MUSCULO-SKELETAL:?NAD; good symmetry, no marked limping full exam not performed. EARS:?NAD; pinnae normal EYES:?Eyes clear with no obvious changes associated LYMPH NODES:?NAD; peripheral LNs normal in size, no firm or painful LNs identified? UROGENITAL:?NAD INTEGUMENT:?NAD; coat normal, no obvious masses or other lesions; full exam not performed PROBLEM LIST:- 3-4 day hx -- v+ first few days (none todya) --  d+ - specs blood today --  innapatencePrimary - HGE/AHDS, dietary (intolerance, rapid diet change), FBO,  infx (bacteria viral parasitism), IBD, inflammation, toxin...Secondary - pancreatitis, hypoadrenocorticism, metabolic other, hepatobiliary, renal, neoplasia.. Gave options:1. Imaging to r/o FBO + supportive care2. Supportive care at home, reassess with rDVM or here INI. Warned risks of signs worsening and deterioration. Bring fecal sample, if over weekend can do parvo/giardia snap test (r/o giardia), if end of weekend recommend full  panel send off (as >5 days d+) O opted option 2  DIAGNOSTIC/TREATMENT PLAN:Prokolin BID, fecal pottle sent home to collect sample. HOLD any nsaids, paracetamol 15mg/kg PO BID (500mg tab PO BID)  if concern for msk pain. RV INI or deterioration or any other concerns.    Vital Signs    Weight: 35.2;