C10012917 / invoice 10000

Reason: V+, Heaving, Bloated?Presented and seen by Dr  Eden Liu   @ 8.10am 11/3Regular Vet: Greencross CoburgHistory:O came home last night to some white bubbly material on floor, thought Charlile has vomited.Episodes of heaving/coughing with nothing coming up.Symptoms resolved temporarily after dinner but recurred this morning.Coughing on the way here, O showed video.PMH: KC in the past Current Meds: noneUTD w vx and wormingNot typically a scavenger. Goes to daycare, but not for past 2w. Examination Findings:Physical Examination:Body Condition Score: 6/9Body weight: 13.5kgHydration Status: euhydratedTemperature: 38.7°CCardiovascular: MM pink, CRT 1-2s, HR 92 , no m/a, ssfpRespiratory: RR 28, normal effort, chest sounds clear bilaterally, no tracheal sensitivity noted, no coughing heard in consult, no nasal discharge noted Gastrointestinal: abdomen soft and comfortable, no overt mass/fb palpableNeurological: BAR, no neuro deficitsMusculoskeletal: 4x ambulatory, msk exam nadGenitourinary: : nsfIntegument: nsfEyes: nsfEars: not examined Oral: nsf Lymph Nodes: nsfRectum: not examinedAssessment: Kennel cough most likely with associated nauseaCannot r/o other GI and extra-GI causes of vomiting Plan: Maropitant 1mg/kg SCLinctol 2.5ml PO BID for 5dKeep restedIf further vomiting, lethargy, inappetence, resp distress, cloudy nasal discharge etc, r/v for further work up.    Vital Signs    Weight: 13.5;