C10004930 / invoice 10000

Reason: Hip/back Legs Sore Last 3-4 Days On Pain Meds But Appointment Notes: struggling to walkConsultation Time:History: Subjective: Objective: Temp  MM  CRT  HR  FP RRBCS: /9  Wt:  kgCV: RESP: GIT: U/G: Neuro: M/S: Integ: Ophth: LNs: INTERNAL  LABORATORYPCV/TS:(Dog: PCV 37-55%, TS 55-75 g/L)(Cat: PCV 30-45%, TS 62-81 g/L)LACTATE:   mmol/L		Blood Gas(sample type: arterial/venous)Abnormal parameters:Interpretation:IMAGINGAFAST:TFAST/Vet Blue:Radiography:Problem List:Assessment: Options Offered to Client:Treatment:Plan:    Vital Signs    

Reason: chocking/gaggingHistory:O administered tablets and liver treat this evening.Shortly thereafter Ollie appeared to be chocking for approx 30 seconds.Condition has now dramatically improved.Castrated approx 1 week ago.Current meds (as per O): Metronidazole and Omperazole.Has been experiencing vomiting and diarrhea over the last ~72hrs. Vomiting has resolved but diarrhoea is still present. Has been taken to local vet for assessment + management of GI signs.Physical exam:BAR - very playfulHR: 124RR: 26T: 38.8MM: P, MCRT: 1 secEyes: NSFEars: NSFOral: NSFCardio/resp: Normal RE. Normal bronchovesicular sounds. Abdomen: NSFNo evidence of gagging or chocking.No tracheal sensitivity.Surgical site is healing without complicationAssessment:Possible transient chocking event with subsequent very mild oropharyngeal irritation.The tablet or liver treat may have briefly caused a chocking event or got temporary lodge in the oropharynx.It appears as though Ollie has cleared the offending object and is currently exhibiting normal RR and RE without any form of gagging. He is now very playful.Oropharyngeal, tracheal or pulmonary fb can not definitively be excluded at this point in time but is deemed to be quite unlikely based on the PE.Ddx for diarrhea: gastroenteritis (infectious vs dietary indiscretion), GI parasitism, toxicity, etcTreatment:Nil for nowPlan:Monitor at home.Reassessment is indicated if symptoms do not resolve over next 24 hrs or condition worsens.Local vet to continue management of GI signs.    Vital Signs