C10014333 / invoice 10000

NURSE: KR 

REASON:
Coags - post rat bait ingestion 

HISTORY:
Was at AES on Sunday after possible rat bait ingestion 
Has been fine since. EDDU normally. No V or D. 
O gave Pregabalin and Trazodone given 3-4 hours ago 
Unfortunately Tilly vomited 15min after
Feels has 

CLINICAL EXAMINATION
Mentation:
MM: pink, moist 
CRT:
Oral Exam and Dental Score: Grade 01-/4 
Eyes:
Ears:
BCS:
Lumps:
Abdominal palpation:
Lymph nodes:
Heart Rate:
Respiratory Rate:
Temperature:
Urogenital:
MSK:
Skin:

COAGS:
Bloods drawn from L jugular vein - performed in consult with O distracting and nurse holding - coped well

ASSESSMENT:
Very unlikely ingested rat bait or not at toxic dose

DISCUSSION:
Very unlikely ingested rat bait or not at toxic dose

TREATMENT:


PLAN:
No need for ongoing mediacation 

PLAN: 
Went to AES over weekend for rat bait ingestion - admitted after 5pm and induced vomiting. Recc by referring vet to consider tx with vitamin K for 28 days or recheck PT/APTT 48-72 hours post ingestion. 
Ox presented at 8:30am Tuesday morning - discussed with owner would like to wait 48-72 hours prior to taking bloods as presented at 5pm 8/03. So for accuracy will need to book appointment approximately 48 hours at least post ingestion which is after 5pm from 10/03. 
Will likely require bloods PT/APTT however will require anti-anxieties prior to appointment as very anxious dog in the clinic.
Ox happy with plan and will book in 48-72 hours post rat bait ingestion

**
NURSE:  TD

REASON: KC VACCINATION

HISTORY:
Going well - no health concerns today.
Recent bottom scooting for the last two days (this occurs intermittently)
Up to date with worming. 
Diet: fresh meat, biscuits, wet food 

CLINICIAL EXAM:
- Mentation: BAR
- MM: Pink and moist 
- Oral and Dental Score: Gr 0 dental dx
- Eyes: Clear and bright 
- Ears: Externally clean
- BCS: 3/5
- Lumps: NAD
- Abdominal: Soft and comfortable 
- Lymph nodes: NAD
- HR: 100bpm, reg, no murmurs or arrhythmias 
- RR: panting
- Temp: 39.1 
- Urogenital: NAD
- MSK: NAD
- Skin: NAD
Anal glands: both full but blocked, normal contents expressed  **muzzle required for this **

ASSESSMENT:
Healthy on examination

DISCUSSION:
- Discussed anal glands with O.
- Advised firm stools help express glands naturally.
- Offered to check and express glands if needed (if she starts scooting for more than a few days). 

VACCINATION:
Protech pi2
5264017
06.01.2027

Bronchishield oral 
5245045B
19.11.2026

PLAN:
Next vaccination due: 
2026 - KC
2027 - C5