C10006953 / invoice 10000

Reason: Gastro V+ D+ Lethargic Maybe See If Nicole Can SeeAppointment Notes: on and off food not eating today past 3 days hrAttendees:CathyMostly D+ and occas vomit bile, been off food for a few daysEats black hawk puppy food, O gave diff flavour before d+ startedStarted as d+, v watery, kept feeding black hawk and some steak bu slowly appetite going and occas vomitHistory:Eating drinking urinating defaecating normallyNo vomiting/retchingNo coughing, no exercise intolerance, no breathing difficultyNo lameness, stiffness or sorenessNo itching and scratchingBright Alert ResponsiveBody condition scoreExamination:Mucous membranes – pink moist crt <2sOral cavity – clear, no evidence of ulceration, tongue normal, hard palate fineTeeth – grade Nasal planum – normal pigmentation and architecture, no crusting, no dischargeEyes – eyelid conformation normal, PLR normal, no chemosis,  no dischargeEars – no discharge, no erythema, pinna fineLymph nodes - normalHeart – normal regular rhythm no pulse deficits, no murmur HRLungs – clear sounds bilaterally, no crackles or wheeze, tracheal pinch negativeAbdomen – comfortable on palpation, bladder normal, no masses palpated, NADLimbs – all good range of movement, no swelling or pain on palpationNeck and spine – no pain on palpationSkin – no sign of erythema, no alopecia,  Nails – fineAnal glands – not scooting/expressedTemperature – Genital region - no masses or swellingsWormmed regly, no access totoxins,Diagnosis: unknown cause GI disease.. Dietarry indiscretion vs infxsTreatment: prevomax inj, home w bland diet small meals more often, discussed pro kolinIf not settling within 24-48 hours to collect pro lolin and consider scourban/ metrogylPlan: FUC days    Vital Signs    Weight: 19.1;       HeartRate: 132;       Temperature: 38.8;