C10011423 / invoice 10000

Appointment Notes: VETSTORIA - Molly (Dog) - Lauren Fosten - 0488999209 - Consultation [Clinician : Dr Thiago Giraldi (Preferred Clinician)] - Blood test check, consultation  No, this is not an emergency. Web BookingClient name: Lauren FostenContact number: 0488999209Email address: lauren.fosten@gmail.comPatient name: Molly?????History:The owner presented Molly for diarrhoea. The diarrhoea has been present for five days but is slowly improving with a probiotic started three and a half days ago. Stools were previously liquid but are now soft. Control has improved; she did not defecate for half an hour prior to the visit, whereas previously she "couldn't hold at all". The owner suspects the cause was fruit given by her parents while she was away. Molly's appetite and energy levels are good. The owner reports Molly is "peeing like crazy" and is "very amped up", which she attributes to long-term Prednisone use.- Significant history: A similar, more severe episode of diarrhoea occurred approximately one month ago, which resolved with a chicken and rice diet. On long-term Prednisone therapy. Blood tests today showed normal platelets (266) and red blood cells. White blood cell count remains elevated, which is noted as an ongoing finding.- Current medications: Probiotic - unspecified dose - SID. Prednisone - unspecified dose - SID.- Appetite & diet: Appetite is good. No specific diet mentioned.Examination:Vital Signs: BAR, HR WNL, RR WNL, Temp WNL, MM pink, CRT <2sec, Skin tent WNL- Eyes: No blepharospasm, no conjunctival hyperemia, no epiphora.- Ears: Ears clean, no malodour.- Oral: Grade 0 dental disease.- Nose: NAD.- Cardiovascular: No murmers or arrythmias.- Respiratory: Clear broncivesicular sounds on all lung fields.- Skin: Normal coat, no ectoparasites.- Abdomen: Soft, no masses palpated.- MSK: Ambulating normally. WBx4, good ROM all joints. No spinal pain.- Lymph nodes: Submandibular, pre-scapular and popliteal LNs WNL.- Urinary/Genital/Rectal: Not assessedAssessment:Problem List:- Diarrhoea, improving.- Long-term corticosteroid use.- Suspected corticosteroid side effects (polyuria, restlessness).- Chronic leukocytosis.Treatment:Plan:- Metronidazole: 1 tablet orally twice daily for a few days.- Prednisone: Reduce dose to half a tablet orally once daily. Dispensed 60 tablets (for collection).- Probiotic: Continue current administration.- Recheck consultation in one month.Client Communications:Discussed starting Metronidazole to resolve the diarrhoea. Advised to reduce the Prednisone dose to half a tablet daily for one month, with a plan to reduce further to 10mg/day for two months before weaning if Molly is doing well. The client was advised to monitor Molly and to return for a recheck in one month. The client was informed that the dispensed Prednisone is on backorder and will be available for collection in 1-2 days.?????    Vital Signs    Weight: 15;       

    Vital Signs