C10007099 / invoice 10000

Reason: Off His Food/not Eating And Drinking WaterAppointment Notes: KAReason:  consult  History: Last week slowly changing his food - prev was on lyka + ziwi peak + prime100 --> pure life kibble Sat d+ & very runnySun runny pooChicken & rice given over the weekend + pro-kolinMon no poo Mon-Tues not eating well - needed encouragementTues softWed mucous + straining to poo w/ drops of poo - gave chicken & rice & ate a little Today not eating at all Has not seen him drink from bowl in days - tried to add water to food but not eating Is a scavenger No known scavenging events but is off leash Laboratory: PCV - 58TPP -70Serum Colour - clear Initials MScanine<200 normal, 201-399 possible pacreatitis, >400 consistant with pancreatitisCBC & biochem WNL Examine: 1. BCS:   3  /52. Integument: nad3. Musculoskeletal: nad 4. Teeth: nad G0.5, mm pink + moist5. Eyes: nad 6. Ears: nad 7. Lymph Nodes: L submandibular LN slightly enlarged, rest nad 8. Cardiovascular/Circulatory:   nad  no murmur detected9. Respiratory/Pulmonary:  nad 10. Uro-genital: nad 11. Gastrointestinal: nad reduced GIT sounds ->11a Anal Sacs: not examined 12. Behaviour: BAR13. Other: temp 38.7, mild prolonged skin tent Treatment: Maropitant 1mg/kg SC Diagnosis: Plan:I/d diet - smaller more frequent mealsAdd water to diet to encourage water intake If any vomiting, no faeces or still unwell after 24hrs present for further workup - disc IVFT + abdo u/s Reminders  Updated: YES/NO    Vital Signs    Weight: 9.7;