C10013939 / invoice 10000

04/03/2026 DATE/TIME of CONSULTATION: 22:36hrs, Wed 04/03/26
CLINICIAN: GG
PRESENTING COMPLAINT: Vomiting 
HISTORY:
Has vomited around 20 times. 
Was left in crate from 12-4pm. Then started vomiting after - gets excessively thirsty after drinking then vomits up water after. Vomited every 10minutes in the first hour - undigested kibble and brown faeces. Suspected ate vomit in cage as it stunk and she has the propensity to eat her own poo. 
Diarrhoea on and off for the last 5 days but today had a normal poo. Not unusual as can get runny poos here and there. 
Lethargic. Wasn't interested in treats 
Kibble some vegemite with ziwi peak topped. Had changed previously from black hawk which has helped stomach. No bones. 
Had gone to eat something on walk - looked like raw hide, but owner managed to get it out of her mouth quite quickly.
Has otherwise generally been well. 

CLINICAL FINDINGS: Mentation: BAR HR: 114 RR: 36 MM: pink CRT: <2  Temp 39.5 (under sedation) 
Temperament: doesn't like the vets and runs away but doesn't bite and is really sweet, just nervous. 
Oral exam unremarkable 
Thoracic ausculation unremarkable 
Abdominal palpation - tensing slightly and yelped and ran upon caudal abdominal palpation --> pain vs nerves

DIAGNOSTIC TESTS:
Sedated 15ug/kg medetom/0.24mg/kg methadone IM --> good sedation 
* Radiographs show mild gas in stomach but no double bubble on R lateral. Mild gas in intestines which look to be in the colon on VD view. 
* EPOC - pCo2 41.4, pO2 40.2, cHCO3- 23.4 cSO2 73, Cl 105, Hct 54, cHgb 18.5 
* chem 15 generally WNL except low ALP 21 

DIAGNOSIS: no evidence of FB obstruction. Discussed with owners given hx of having D+, might be related and worthwhile considering a diet trial if continues to have GIT issues. 
TREATMENT: Cerenia SQ 
CLIENT COMMUNICATION/PLAN: Revisit if vomiting/inappetence continues