C10004220 / invoice 20000

08/03/2026 REASON - Tummy issues. Frequent attempts to poo. Loose poo
SN 8/3

HISTORY:
2 nights up in the night
throughout the day yesterday: not watery diarrhoea but loose/ soft poo
real straining and walking around a lot
agitation, pacing
going out in the rain 
no blood or mucus look
appetite haven't fed this am 
ate dinner normally last night
not normally a scavenger, do have rabbit around the backyard: poo
no V 
demeanor rather normal
gave chicken wing wednesday and yesterday morning: has had that regularly so far: BIW
prior to this last last yr GH visit: scooting, had anal gl expressed, 2nd time glands ere fine but inflam around bottom: cortisone cream which also used last night 
do sometimes attempt to scoot but single use of cream seems to settle. Hence additon of sweet potato to diet
Diet: Blackhawk kibble + roast sweet potato BID 
Prophylactics: Bravecto chew + milbemax tab q3m
EXAM:
BAR, BCS: 4.5/9, MM: pink CRT: 1-2sec RR: 24/min HR=PR: 96/min auscultation: NAD T: 38.5
Dentition: Grade 0/4, 
Eyes/Ears: NAD, 
LNN's: all peripheral ln wnl.
Abdo: comfortable, slightly fluid GI feel, no guarding or mass effect. Rectal exam - colon empty, no blood, no mucous, no stools, not straining against examination, anal glands unremarkable
MSK: NAD
Integument: NAD, 
Genitourinary: NAD

ASSESSMENT:
Diarrhoea appears to be large bowel: ddx: dietary indiscretion/ interalance vs all

TREATMENT:
Pro-Kolin 6mL BID per os until finished
Cerenia 60mg 2 SID per os for up to 2 doses

PLAN:
Simplified diet, small frequent meals 3-4 per day, no treats or extra tidbits or high fat items. If ongoing diarrhoea, obtain faecal sample for parasites analysis.


08/03/2026 Sample: Faeces
Sample Labelled and Dated: Y
If not clear on file as to which test we are running, check estimates or ask vet before charging
Payment (ensure this is charged under VET ASSIGNED NAME): YES
Add to Surgical & Hospital Worklist (do this as soon as sample arrives with Clinician Name added): YES
Initials of Vet Nurse informed: LSM
Vet assigned: NM

O advised after appt that first poo had mucus in it and then second had blood in it.


08/03/2026 LABORATORY:
Imagyst: NEGATIVE
ASSESSMENT:
Outstanding ddx as below minus parasitic/protozoal organisms
COMMUNICATION:
Call to Kerry:
sleepy, not been outside since diarrhoea with blood and mucus earlier
not that interested in food but eaten 2 sml bowls of kibble today
more settled than overnight
took prokolin, given tablets: took quite well
Discussed results and advice that if HGE progressed: hospitalisation and IVFT: NEVS/ SASH overnight contact 

09/03/2026 Date insurance claim completed:
Date/s of treatment:
Have all previous vet visits been claimed (check file) Y/N:
Is this a GAP claim?:
If so, benefit amount that insurance is covering: $
Sent via: Petsure vethub