C10011831 / invoice 10000

10/03/2026 HISTORY:
Sunday evening, looked like had allergy - big bumps on tummy. Ate dinner as normal.
Vomited all dinner, undigested in the early hours of the morning. Couldn't stop vomiting for quite a while - dry heaving when stomach empty. Wouldn't drink or eat. 
11am started to drink water, had quite a few big drinks. Vomited this water about 2 hours after drinking it every time.
4pm O noticed went to poo and had bloody d+. That morning had a normal poo then another later that day had another normal poo with some mucous but then D+ after this poo. Has had quite a few more bloody poos, now just red watery. 

Vomiting seems to have calmed down this morning but still occuring a bit. Had a drink at 7am this morning and has kept this down.

No change in diet. Only eats chicken and fish as protein as other dog allergic to other proteins. Had a tiny bit of sausage on Sat which he doesn't usually have. 
No missing toys. No bones. Always rips toys apart but not noticed swallowing. Eats Os panties but she is away at the moment and has not noticed any missing for quite a while.  
Was barking at people walking by yesterday but today is quieter than usually is.

CLINICAL EXAM: 
Demeanor:  QAR   HR: 158    RR: 36    T: 37.8    mms/CRT: pink<2s - tachy mms   DS/oral cavity: 1/4   BCS: 8/9    Eyes: n   Nose:  n   Ears: n    Lymph nodes: n    Abdo: no flinching and soft to palpate but quiet moan when palpating abdomen - no specific areas    Msk: n     Skin and coat: Some pustules R ventra abdomen and inner pinna slight erythema in patches    

DIAGNOSIS/DDx: Pancreatitis, food allergy, gastroenteritis, FB, parasitism, bacterial or viral infection
DISCUSSION: Will admit for bloods including cpl and IVFT + IV metronidazole. At the moment looks like more gastro signs rather than FB but will call O later in the day if decide abdo x-rays may be indicated. 
PLAN: Call for O updates over the day. May add in abdo x-rays depending on lab results and response to tx. 


LAB: Very mildly low urea and chloride. Neutophils WNL but suspect band Neutrophils. Amylase 2159 (500-1500), cpl 1637 (>400 = pancreatitis). 
8:20am- PT= 19.5 APPT=117.2

Pancreatitis diagnosed. No known underlying cause currently. 0.6mL Temvet IV.

HR reduced down to 120, RR panting, T 37.8, mms pink, tachy.

Plan: assess response to medications and fluids to whether further diagnostics or prolongued hospitalisation needed. Start on low fat diet.

12pm: Spoke to owner,  will try to feed him some chicken. Has taken to toilet, no vomiting ot D+. Will assess in a couple of hours and decide whether would like to transfer to PPAH or can go home with low fat diet and analgesia.

Decided to transfer to PPAH. Will give Temvet before transfer. 

3.20pm: BAR, HR 108, RR panting/sniffing - 56, T 37.89, mms pink<2s, still a bit tachy, skin tent 1sec., rectum empty, brown slight red tinge poo on finger.
4:10pm- PT=18.3 APPT=117, temvet 0.6ml IV