C10007876 / invoice 10000

Reason: Ingested Scallop ShellHISTORY:Seen with scallop shell in mouth - was about 2/3 of shell left. Unsure if eaten any. Current meds: none Prophylaxis: utd Pre-existing conditions: none Access to toxins eg. Rodenticide: none TRIAGE:HR: 100RR: pant Temp: not taken - too boistrous Mm:  pink Crt: <2 Mentation: BAR Pain Scale (0-4): 0Hydration status (%): hydration clinically adequateEXAMINATION:Body Condition Score: 4/9Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gaitMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4):   1- Abdominal: no detectable pain on abdominal palpation, normal gut sounds- Rectal: not performed Urinary: NSFReproductive (incl ext genitalia): NSFIntegument/Ears: NSFLymph Nodes: peripheral lymph nodes normalEyes: NSFPROBLEM LIST:Seen with scallop shell in mouth - 1/3 of shell missing Coughed afterwards DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Possible FB ingestionDIAGNOSTIC/MANAGEMENT PLAN:Radiology : Digital radiography was performed.Thoracic: Extra thoracic structures: no significant abnormalities, skeletal and subcutaneous structures normal Diaphragm: Intact Pleural space: No air or fluid Large airways: Normal, normal dorsal tracheal membrane Pulmonary: No pathological pulmonary pattern present Cardiac: Normal size and outline Oesophageal:  no air or foreign body present  Abdominal:Extra-abdominal structures: no significant abnormalities Serosal detail: good Liver/spleen: normal size and outline GIT: No obvious radiopaque foreign body, or intestinal gas dilation (< height of L2 in dogs, L4 in cats)Kidneys:  - Left, normal size and outline - Right, normal, but cannot visualise completely (due to the liver) - No obvious renoliths Bladder/Prostate: bladder present, no obvious radiopaque uroliths  Xray Interpretation: No evidence of radioopaque object seen ASSESSMENT:Possible Gastric foreign body TREATMENT:Emesis induction via Apomorphine Findngs:  no shell in vomit Anti-emetic: Metomide 0.5mg/kg SCPLAN: home for monitoring CLIENT COMMUNICATION:    Vital Signs