C10014174 / invoice 10000

Reason: Lethargic Constant hiccups KaHistory:went to blakes crossing yesterday and had prevomax inj and metacam inj (??). Had a temp. Then went to sash twice last night as not getting better. Had some prolonged hiccoughs. After that did eat something last night. Still quiet today.Had slight d+ yesterday. Not straining. Has new insurance policy and gi issues not coverwed for 1 month.DietCurrent medications and fluid therapyPrevious TestsDescribe any changes since the last check:Examine:was good. Quiet and alert. Friendly. Refused treats. Heart nad. Abdo nad. Mouth nad. Can open ok. No hiccoughs here. Rectal exam poo to come feels like should pass ok. T39.9Assessment:not dire at moment but feel temp most likely cause of quietness. May or may not need ab's. Options of basic meds and recheck temp tomorrow with nurse or bloods, drip, hosp admission etc. If temp still high tomorrow or still flat, reassess with vet.Differential Diagnosis:Laboratory:Plan:Declined-Deferred Services:List Services offered/Reason declinedOther Services provided:    Vital Signs    Weight: 3.7;