C10006079 / invoice 10000

In house BG: 4.7mmolWellness check for ongoing monitoring/preventative care.Staff discount applied    Vital Signs    

Reason: Vx 9 In Last HourHISTORY: This evening vomited multiple times (initially consisted of food > progressed to bile). EDUD normally prior. No diarrhoea. Not an indiscriminate eater. Diet: no recent changeEnvironment: indoors only, the other cat in the household had 1x bile vomit this morning, no recent changes  Access to Toxins: none known Vaccination: NUTD Parasite Prophylaxis: Bravecto PLUS q2mthsPre-existing Conditions: history of cat flu (current flare-up)Current Meds: none EXAMINATION:Body Condition Score: 6 / 9 Pain Scale (0-4): 0 Hydration Status (%): euhydrated; mucous membranes = pink moist; CRT = <2s; skin tent = normal Cardiovascular: HR = 220bpm, no murmurs or arrhythmias audible, SSFPRespiratory: RR = 44brpm, normal respiratory effort, no nasal discharges, normal BV sounds bilaterally on thoracic auscultation Neurological: mentation = QAR (nervous)- No circling / head tilt / head pressing / head turn / facial or eyelid droop / tremors - Normal palpebral reflex, PLR and menace response bilaterally - Gag reflex present Musculoskeletal: ambulating x4 normallyOral: no mouth pain, dental score: C1G0 Abdominal: soft and pliable on abdominal palpation Rectal: T=39.3c; rectal not performed Urinary: NSFReproductive (incl ext genitalia): NSFIntegument/Ears: clipped fur over left laterodorsal abdomen Lymph Nodes: peripheral lymph nodes unremarkable on palpation Eyes: NSF, no blepharospasm / chemosis / epiphora / anisocoria / nystagmus / strabismus PROBLEM LIST:Acute VomitingMild Hyperthermia / Pyrexia DIFFERENTIAL DIAGNOSES:DDx (vomiting): GI (dietary – over-engorgement, abrupt diet change, dietary indiscretion, food allergy; outflow obstruction –pyloric stenosis, neoplasia, foreign body, granuloma, intestinal hernia, intussusception, ileus, mesenteric torsion; neoplasia – lymphoma, adenocarcinoma, mast cell tumor, gastrinoma; inflammatory – inflammatory bowel disease; viral infection – canine parvovirus, feline panleukopenia, FeLV/FIV, FIP; parasitic infection – hookworm, roundworm; protozoal infection – Giardiasis, coccidiosis, toxoplasmosis, cryptosporidiosis; bacterial infection – bacterial enteritis, campylobacter, salmonella; GI ulceration – stress, neoplasia, NSAIDs, steroids; toxin ingestion; AHDS) VS extra-GI (neurological – vestibular disease, motion sickness; hepatic disease; pancreatitis; renal disease; endocrinopathy).ASSESSMENT:Vomiting of Unknown Cause (further diagnostics warranted to guide diagnosis and therapy) Mild Hyperthermia (likely behavioral however unable to rule out other causes without further diagnostics)TREATMENT:Maropitant 1mg/kg SC @2030 PLAN:Discharge for continued home monitoring with antinausea injection. Reassess with primary care vets within 48 hours and consider abdominal imaging if clinical signs persist / worsen.--- 19/07/2024 10:24:47 AM GGV:Treatment - Resolved - follow up sent    Vital Signs    Weight: 5.9;