C10007675 / invoice 10000

Reason: Not EatingAppointment Notes: Paws App Details:Booking Type: Medical ExaminationBooking Vet: Dr Tessa JonesBooking Notes: Not Eating Pet Does your pet have more than 2 health concerns you'd like to discuss, or is this a complex case?: No - we'll be discussing 1-2 standard concernsHas had a reduced appetite for about a week, 50% of her usual amountStill playing, but maybe a bit less energetic?Still defecating normally,only goes every 2nd day, normal for herWell formed , not super hard/ dry Not strainingDrinking normallyHad a dental done new years eve 2025, for a similar issue with appetite, at this time she had gingivitis over one of her lower carnassials, teeth cleaned, xrays done, no FORLs, no extractions. She was better for about a month, but then O noticed gingivitis back again. Brushes teeth few times a weekShe prefers to eat dry food (hills science diet adult cat) and doesnt really chew itShe flinches while eatingHistory of lots of hairballs, o gives psyllium husks which has helpedNo meds at homeSalmon oil - for hairballsIndoor only catTPRHR180RR 8037.0Examination:COAT/SKIN: no lesions or swellings, skin tent normal, no sign of ectoparasites, gorgeous coatEYES/EARS: eyes clear, no discharge, ears clean. MOUTH/TEETH: gums pink, CRT<2. Gingivitis ++ over both lower carnassials. Rest of teeth look OK, no other oral lesions but cant assess mouth thoroughly while awakeHEART: normal rate and rythmn, no murmour/ arrhythmia, pulses SSLUNGS: clear BV sounds throughout, normal effortABDOMEN/DIGESTIVE/URINARY:  non painful, no masses or fluid wave palpableCNS/MUSCULOSKELETAL:  gait normal, full MSK exam not performedPERIPHERAL LYMPH NODES: NADWEIGHT/DIET: Body Condition Score 4/9:REPRODUCTIVE: desexxedProblem list:Reduced appetiteGingivitis ++ on lower carnassialsDdx. Juvenile gingivitis? Other immune med dental condtion eg. GingivostomatitisVs other systemic illness causing inappetance eg. IBD, pain, metabolic diz etc. Reccomendations:Recc removal of problem teeth seeing as scale and polish + home care hasnt helped O would like to try conservative management first, can trial steroids + abx but ideally would plan to remove problem teeth. Treatment:Clavulox 20mg/kg PO liquid BID until finishedPred tapering dose 2.5mg SID then 1.25 SID then 1.25 every other day    Vital Signs    Weight: 4.7;       

Reason: periodontal treatment grade 1History:Admit for dental with JSEDDU normalNo v,d,c,sConsented to bloods and fluids + dental radiographs Diet: hills science diet dry food Adding in psyllium husk Laboratory:  PAT: yesLow platelets, but sample was drawn from catheter so likely artifactRest WNL Procedure: IV catheter placed Premed: ACP 0.02mg/kg (0.05ml); Meth 0.2mg/kg (0.1ml) given IV @ 9:42amGA: Alfaxan 1.2mls slow IV to effect for induction, intubated size 3.5mm cuffed ETT, maintenance isoflurane.Routine GA no complications.IVFs throughout procedure: Hartmanns /NaCl @ 22mls/hrRoutine grade one dental scale and polish, no extractionsFull mouth x-rays performed + dental probingAll roots on radiographs look good; normal periodontal ligament space, no signs of resorption. Some mild to moderate gingivitis of 109, 209; no enamel defects able to be identified on scaling/ probing.No teeth detected that require extracting. Routine anaestheticRecovery went well. Treatment: Metacam 0.2mg/kg  (0.18mls) given SC on recovery @ 11:38amPlan: Oral care at home. Information sheet discussed and given to owner at dischargeRecheck in 3 months - reminder setDiscuss options if inappetance continues- diet trial (could be IBD vs dietary intolerance vs hypersensitivity; could trial GI biome or z/d to see if this helps. Could be having on and off periods of nausea causing inappetance?)- further diagnostics: abdo ultrasound    Vital Signs    Weight: 4.5;       BodyScore: 5;       

Reason: Not Eating JSAppointment Notes: Overdue remindersVeterinarian Name:About a week ago reduced wet food intake. After 3 days she coughed up a hairball- and normally she bounces back to normalBut this time she didnt bounce backLast night she did have some wet food with tuna and fortiflora. Past few days reduced dry food intake (will en dup eating most of it). No vomitingNo problems with urination. Stools every 2nd dayMedications: probiotics- have helped with stool quality. Indoor cat. Happily using litter tray. Kitten at home- 5 months old. Seemed to bge getting along. Nil halitosis. Thoracic ausc nadEENT nadAbdominal palpation normalCoat cleanDental- focal inflammatory lesions bilaterally 306/406- on explorer sensitive ++ and enamel defects present= FORL affecting 306/ 406- reactive on dental explorer. Defect in enamel present. Plan:Need dental to remove affected teeth. Pain relief in the meantime. Trial anti anxiety gaba to try help with toiletingAdd fibre to diet to help with fur balls and toileting- she only toilets every 48hrs and it is normally a large volume of faeces.    Vital Signs    Weight: 4.8;       MMColour: pink;       Temperature: 39.0;       HeartRate: 180;       CRT: <2;