C10004228 / invoice 10000

Off food, ate a little food last night, on and off vomitting

Hx:
Brought in by husband. 
Has been on/off her food for the past week. 
Vomiting intermittently during this period - mainly digesta (biscuits or mince). 
Unsure of last V, but noticed some in backyard today. 

Ate breakfast well this morning, last fed before 9am and a tiny crusket cracker. 

No D+ noted. Solid poo on last walk. 

Suspect might be reaction to change of brand of kangaroo mince as now completely off it.

Diet: dry kibble BID (unsure of brand), and in evening with small bit of kangaroo mince. Snacks - dental treats, leftovers from kids ocassionally (crackers, toast, raw carrot), Raw marrow bone from butcher every 2nd day.

Backyard - toads present but no presentation, potting mix and known digger, does not bury in backyard.

No access to human meds. No current meds.

Unsure if UTD with f/t/w prevention but wife is usualy on top of it.

PE:
Clinically euhydrated
Demeanour/Neurological Ñ BAR, full examination not performed. 
Eyes - clear bilaterally with no discharge, redness, or blepharospasm visible. 
Ears - clear bilaterally with minimal discharge externally. 
Mouth Ñ minimal inflammation, tartar buildup. Crt <2 pink moist gums
Cardiovascular Ñ regular rhythm and rate with no obvious murmurs detected. Pulse quality strong and synchronous.
LN's Ñ all peripheral LNs WNL
Respiratory Ñ  normal resp effort with clear lung fields and no crackles or wheezes detected.
Abdomen - comfortable on palpation, no abnormalities palpated or changes in gut sounds. BCS 7/9
Musculoskeletal Ñ no obvious signs of lameness, muscle atrophy, or pain on limb flexion and extension. Full examination not performed. 
Integument Ñ full, clean coat with no alopecia, dermatitis, or evidence of ectoparasites
Temp: 38.2C
Urogenital: normal conformation, nil discharge
Rectal: NP

Assessment:
DDx - gastroenteritis (dietary indiscretion, infectious, parasitic), extra-GIT disease (kidney, liver, pancreatitis), foreign body obstruction, neoplasia

Recomm bloods to assess if GIT vs extra-GIT. Discussed in-house cost and time vs external. O opted for external.

Treatment: 
Required muzzling for bloods
Venepuncture from R cephalic v. for TAHPC


Plan: 
Bland diet for 3D (chicken and rice or special gastrointestinal food)
Supportive care and monitoring at home with plenty of water
Contact once bloods return to assess tx plan