C10007471 / invoice 10000

Reason: Diarrhoea recurringHistory:Bad d+ for days last visit but otherwise wellThenRice chicken pumpkin veg for weeks and gradually back to normal foodBetter then worse then againComplete liquid a few days agoYesterday formed and today more soft serveNo v+ No change in energy No urgency, no needing to go out at nightNo blood or black in faeces - normal colour for her Eating well normal appetite, no change in weight or intake29.6kgGoes to off leash park, unsure if eaten anything, would eat any food lying around at parkNo objects eaten No obvious pattern with food No obvious d after simp trio No access to toxins/meds etc, only off leash possible time Diet: Has been trying pumpkin; Fully back on full kibble concistent for years just adult kibble majority of diet; then rice boiled chicken and veg when worsens Worming:Heartworm:Flea/tick prevention: simparica trio Vaccinations: Current medications:Examination:Temperament: (°C): ***Cardiovascular: HR: ***, no murmurs or arrhythmias, femoral pulses strong & synchronous, oral mucous membranes pink & moist, CRT 1 second.Respiratory: RR: *** Eupnoeic, no crackles/wheezes on auscultation. Oral exam: no signs of periodontal disease. No fractures, gingivitis, periodontitis, or odour. Dental grade ***Eyes: WNL – No pain, discharge, erythema, or opacity. Ears: WNL – No inflammation, discharge, erythema, or odour. Nose: WNL – No discharge or erythema. Patent nares with no stenosis Peripheral lymph nodes: WNL – Palpated with no obvious abnormalities Integument: Full coat, normal skin tent. Abdominal palpation:  Palpated with no obvious pain, tension, or abnormal structures.Gait: Readily ambulatory, no ataxia or lameness.Musculoskeletal: WNL  - Able to right, rise and ambulate without difficulty. BCS 5/9.Neurological: Mentation & responsiveness appropriate, full exam not done.Urogenital: WNL on external examination. Rectal exam: soft normal faces /  Not performed.Current problems:Assessment:Plan:Client communication:External Lab screening test in unwell Dog- depending on indication, either select Idexx TAHP, TAHPW (incl CRP) OR CTHP (incl CPLI) all non interpreted and interpret inhouse  OR Idexx Canine screening profile (Interpreted)- Interpreted tests options= CTHP+ (incl CPLI) or GER2  - ALL CHARGED OUT THE SAME IN UNWELL DOG    Vital Signs