C10003886 / invoice 10000

Reason: DiarrhoeaAppointment Notes: Paws App Details:Booking Type: ConsultationBooking Notes: Has Diarrhoea from potential mushroom consumption Owner Would you like to opt for an earlier appointment if one becomes available?: YesPet Does your pet have more than 2 health concerns you'd like to discuss, or is this a complex case?: No - we'll be discussing 1-2 standard concernsPet Primary Diagnosis/Suspected Diagnosis/Location: acute diarrhoea: potential toxinSuspect cause: acute diarrhoea , potential toxinAny other conditions being treated (if any):  NILKnown health concerns: NILDate of first clinical signs (if known): 2 days agoTo be filled in prior to submitting claimAdditional notes can be added laterHISTORY:Last friday potentially got into wood/grass mushrooms in the yard. Since then, has had acute watery diarrhoea over the weekend. Had a spot of blood in diarrhoea too. This morning- diarrhoea less watery - still soft and cow pat like. Throughout this time she has been well, eating fine (currently eating kibble soaked in water), normally eats barf patties as well.PARASITE PREVENTION: UTDENVIRONMENT: no concerns.EXAMINATION:MENTATION: BAR, normal mentationBEHAVIOUR: good girl.INTEGUMENT: no significant findingsEYES: no significant findingsEARS: no significant findingsORAL: no significant findingsLYMPH NODES: Submandibular, popliteal normalCARDIOVASCULAR: cardiac auscultation, femoral pulse normalRESPIRATORY: eupnoeic. nares, throat, lung auscultation normalABDOMINAL: palpation- no significant findingsRECTAL: --UROGENITAL: no significant findingsMUSCULOSKELETAL: ambulatory x 4, no obvious lamenessNEUROLOGICAL: no obvious deficits presentedGiardia test: Positive (faint)ASSESSMENT:Acute diarrhoea. Dietary indiscretion most likely. Toxicosis still possible. Giardiosis possible.TREATMENT:Fenbendazole 50mg/kg PO SID 3 daysProkolin paste and bland dietPLAN:Send bloods away to screen for hepatoxicosis.Advised O to hold off on fenbendazole until bloods come back clear for severe hepatoxicity.    Vital Signs    Weight: 18.2;       BodyScore: 7;       DentalGrade: C0G);       

Reason: Cherry Eye? - JWAppointment Notes: Special payment terms existHistory: Collected from breeder yesterday.Has prolapsed third eyelid gland L side.  O notes R side popped out this morning but has replaced on its own.Heartworm prevention: Start SR12 today same as other dogIntestinal worming: Milpro todayFlea control: Bravecto sample todayNutrition: Ivory coatExamination:COAT/SKIN: Deep facial folds but cleanEYES/EARS: Left eye prolapsed third eyelid gland.  MOUTH/TEETH: MM pink and moist, CRT 1 sec.  Juvenile dentitionHEART: HR 116 no murmurLUNGS: Normal BVS all lung fields. No Stridor/stertor at restABDOMEN/DIGESTIVE/URINARY: Abdomen comfortableCNS/MUSCULOSKELETAL: Ambulating normally x 4, no discomfort on examPERIPHERAL LYMPH NODES: WNLAssessment: Fit for vaccination.  No third booster needed at this ageTo see Animal Eye Services about surgery for cherry eyeTreatment:Protech C4 5257037B 10/26 Sq + Bronchishield I Intra-oral 5245045A 09/2612-Week Heartworm Injection XX ml SC Heartworm Injection given    Vital Signs    Weight: 11.3;