C10011473 / invoice 10000

Reason: D++Appointment Notes: Overdue remindersHistory: 9:30am collected sample - small volume faeces looks mostly like mucus with some frank bloodPotentially some diarrhoea yesterday?Only really noticed this morning after groomingStomach making funny noise/borborygmi this morningHasnt eaten since sunday not completely unusual for herDrinking well couple drinks todayNot sure about poos in meantimeDoesnt think access to eating anything unusualNo access to toxinsNot a scavengerHas still been herself but a little quieterPreventative: NGS UTD, tapewormer q 3Diet: I/D digestive with cooked chicken mince or tuna not fond of it by itselfCurrent medications: noneOtherwise has been:- Drinking normally- No vomiting- No coughing, sneezing or breathing abnormalities- No itching/ scratching excessively - No changes in urination- No gait abnormalitiesPrevious medical history:Examination: Cardiovascular: HR and rhythm normal, nil murmurs audible, good pulse amplitude.Respiratory: RR and effort normal, normal bronchointerstitial lung sounds on auscultation.Neurological: full neurological examination not performed. Normal mentation.Musculoskeletal/Gait: full MSK examination not performed.Gastrointestinal: Abdomen comfortable on palpation. Nil abdominomegaly palpable.Urogenital: Nil abnormalities.Integument: Nil abnormalities in integument.Ocular: Both pupils responsive to light (direct and responsive).Otic: Nil abnormalities.Lymphatics: Nil abnormalities.Oral: Nil abnormalities. Rectal: Nil abnormalities. No faeces present, no obvious masses, no blood or faeces on glove, resistant to exam but not obviously painfulHydration: euhydrated, mm moist, skin tent WNL, fpssLaboratory: Small volume faeces looks mostly like mucus with some frank blood - large bowel diarrhoeaAssessment: Large intestinal diarrhoea (food responsive/allergic vs IBD vs stress colitis vs infectious)Plan:Prokolin 2ml PO BID 5 daysINI or worsening rv    Vital Signs    Weight: 6.7;       Temperature: 38.2;