C10010866 / invoice 10000

Reason: D+/V+EMERGENCYHospital day: 2Reason: Haemorrhagic gastroenteritisInappetanceVomitingSubjective: Qar happy to go for walksEating chicken well in hospital Soft mucoid brown faces, frequency wnl Urinating normal Objective: Temperature: 38.7CCVS: no murmur or arrhythmia, pulses strong and synchronous HR =120bpm, OMM pink slight tach Respiratory: no adventitious lung sounds, normall effort RR = 28bpm Abdomen: largely comfortable, mild tremouring mid abdo palp, no obvious structural abN. Genito-Urinary: normal urination M/Skeletal: Ambulating normalNeurological: sound Eyes/Ears: wnl Integument: normal tent BWT: 5kgNutrition: chicken in hospital, not interested in I/D stewFluid therapy: @ 10mls/hr Laboratory: Blood ytd = mild increase neut, ALT 341, K 3.7 CRP = 150 HCortisal resting = 665 HStool collected sent for PCR realtime (VY sent)Not addison's + evidence of systemic inflammation. Assessment: 1. Diarrhoea (improved appearance and frequency, no blood), gastroenteritis supportive of CRP increase2. Appetitie (improved with chicken, need to restart hypoallergenic food at home)3. Abdo comfort (quite good on palp)4. Vomiting (resolved)Ddx: primary GI - food indiscretion/dysbiosis, infectious, allergy/immune-mediated, neoplastic/structural VS extra GI - liver/kidney/pancreatic disease, addisons (unlikely), shunt (not ruled out)Client Communication: (daily update)--- 10/03/2026 12:40:34 vyu calling Monica discussed progress - stool improved, appetite improved, no further vomiting. Discsused okay to trial further care at home, likely need 3-5 days stablising on easy to digest/pallatable food then resume back on diet trial. Discussed with options for diet trial e.G. Prime 100 - kangaroo/salmon/crocodile. Discussed z/d and hypoallergnic. As Frankie not seemed to be a fan of the existing prurina pro Discussed relapse ongoing with HGE or inappetance may consider abdo ultrasound and screening test for shunt. Owner happy, likely pick her up around 4.30pm. --- 10/03/2026 13:58:11 CNA:Páid for prokolin yesterday  at WS but did not take it . Credited account,MB--- 10/03/2026 13:13:07 VYU:Redispensed prokolin from FM.Plan: Overall improved can consider TGH for ongoing care. Home with prokolin, ondansetron, paracetamol (already dispensed)Coming around 4.30pm.    Vital Signs    

Reason: Diarrhoea  And VomitingAppointment Notes: Overdue remindersEMERGENCYHospital day: Reason: V+, D+, Inappetance History: CM SW Elosie at GX WS - discussed history and presentation today. Frankie developed additonal bloody diarrhoea at home and was quiet on presentation with GX WS. No further vomiting, no interest in food. Unable to give paracetamol at home. Hx dietary sensitvity. Bloods largely unremarkable - mild inflammatory leukogram, K+ 3.7. Mild > ALP. PLt 5-8/hpf on manual count. Gas in stomach on radiographs. CRP/Resting Cortisol pending. Continue supportive care overnight.Objective: Temperature: 38.5CVS: nad on ausc, strong pulses pale pink OMM Respiratory: nad on ausc, no increase in rate/effort Abdomen: comfortable on palpation following bupe Neurological: appears appropriate Integument: no bruising present Laboratory: PCV TP  44/70 @ 11pm - holding Assessment: Ongoing anorexia Bloody diarrhoea Plan: Hartmanns 20mmol KCL/L Maropitant 1mg/kg IV q24 Prokolin BID PO -> consider ondansetron/ repeat PCV/TP. If ongoing pyrexia consider metronidazole Client Communication: CM SW Monica - discussed overnight careplan and estimate $700-1000. If ongoing diarrhoea consider faecal testing before starting antibiotics. Discussed no news is good news overnight, update in AM. Happy with plan. --- 10/03/2026 03:40:18 SBT:Added in ondansetron TMO q8hr from 3amTransitioned from buprenorphine -> paracetamol 15mg/kg IV q12hr from 3am as very comfortable Normothermic Laboratory: Parvo + corona antigen NEGATIVETo collect faeces for PCR if passed (nil further yet) --- 10/03/2026 04:30:25 SBT:Eating chicken well following addition of ondansetron. Remaining comfortable on paracetamol alone --- 10/03/2026 06:23:49 SBT:Passed faeces - diarrhoea but no blood. Client Communication: Tried to call, no answer LMOM'Good morning. Just tried to call to update you on Frankie. All went well, just give us a call back when you get this message and we can provide a further update. Regards, ARH Wollongong Team. DO NOT REPLY. THIS INBOX IS NOT MONITORED'Owner called back - advised went well, initially quiet but perked up later evening and when added in additional antinausea eating chicken well. Still early days so do rec another 12hrs of support to ensure on the mend. Also discussed sending away faecal PCR - consented, aware will take several days but good info given intermittent GI signs. Advised owing just under 500 - likely 1500-1600 with faecal testing by end of today. Consented. Next update mid arvo Referring Vet: Gx    Vital Signs    Weight: 4.85;       CRT: 1.0;       MMColour: pink ;