C10017436 / invoice 10000

HISTORYVomiting - multiple episodes (13+) of clear vomit starting this morning at around 5am, last meal 6PM last night, one vomit had small piece of stick in it, last vomit at 5:40AM today. Normal faeces passed between 5 and 6am (no D+, no blood). Settled for a bit and then all of a sudden jumped up and squealed and ran around frantically (no obvious cause for this reaction). Drank a small amount of water after 5:40am and kept this down. Seems very bright still. No access to toxins (rat bait, snail bait) or pharmaceuticals. Sleeps in a crate so does not have free roaming access while Os asleep. Not known for eating silly things like socks or toys but will eat edible things very quickly (e.g. bird poo). Os were renovating their backyard fence yesterday so could definitely have been things left in the garden that P could have eaten. Vaccination status: Had all 3 puppy vaccinations. Last one was a C4 booster + 1st C2i 4 weeks ago. C2i booster due today but recommend to be withheld.EXAMINATIONDemeanor: BAR, such a sweet boy! BCS: 5/9Hydration: MM pink & moist, slight hypersalivation, CRT <2sEyes: Open and comfortable. Full ophthalmologic exam not performedEars: No erythema. No malodour. No waxy discharge bilaterally. Responds to sound. No history of pruritus.Nose: No ulceration. No crusting. No nasal discharge. Oral exam: deciduous dentition. LNs: Submandibular, prescapular and popliteal LN small, round, symmetrical. Integument: Shiny coat. No diffuse areas of redness, crusting or scaling noted. No dryness. Cardiovascular: HR = 140. No heart murmur or arrhythmia auscultated. Respiratory: No coughing. No sneezing. Clear lung sounds in all 4 quadrants. Panting.Abdomen palpation: Slight whimper on cranial abdominal palpation but also whimpering in general even when not touching P. Caudal abdomen soft and comfortable.Rectal exam: Full rectal examination was not performed. Urogenital: Normal external genitalia.MSK: Ambulating normally - weight-bearing in all limbs. Not favouring a certain limb when standing still. No pain or crepitus or resistance felt on full range of motion for all limbs. Neuro: Appropriate mentation. Full neurological exam not performed.ASSESSMENT/DDX:1. Acute onset V+ - DDX: foreign body obstruction vs dietary indiscretion vs toxin ingestion vs infectious (parvo although bright demeanour, normothermic, recent vaccinations, no D+). Client comm:- Given hx of fence being renovated and things P could eat in backyard recommend abdominal X-rays to assess for foreign body obstruction. - Offered bloods as well for assessment of possible infectious causes, O opted to start with abdo x-rays. Explained that this may require sedation. Also explained may show evidence of obstruction but not 100% sensitive. - Withhold vaccination booster until resolved.Plan:1. Admit for abdominal x-rays.**Handed over to sx team**sedated with 0.04ml medtomidine and 0.2ml methadone IV rads some gastric dilation with suspcious possible FB in pylorous vs early duodenum no gas pattern or abnormalities detected in rest of abdomen recommend repeat rads in a few hours to see if it moves06 Feb 2026 12:13 PMSS repeated radiographs - concerning areas and gas have seemed to move. much improved plan to reverse sedation give cerenia and offer some food monitor for a few more hours to see if V on cerenia 

Hx:Client consent obtained for recording with VetNotes, brought in by Vicki & Edward Transitioned fully onto Black Hawk foodSl watery eyes improved since diet changeStarted longer walksStarting puppy school next weekMonthly worming with NexGard SpectraNo vomiting or diarrhoeaHouse training going well - no accidents inside recentlyEating wellMicrochippedDesexing booked for around 6 months of age Socialising well with peopleGetting used to teeth brushing and handlingSleeping through night 10:30pm to 6:30amFrom breeder in WollongongParents had good hip scoresPE:Cinnamon Bun excited but tolerant during exam, v friendly No signif abnormalities thoracic field or cardiac auscultationNo signif abnormalities abdo palp MMs pink, CRT <2secsTeeth deciduous teeth present no obv malalignment  Coat thick and shinyBCS 5/9 Weight 4.6kg, good body conditionBoth testicles present Client Comms:Disc puppy things inc insurance (already insured), Ortolani +/- JPS, desexing, feeding, parasite control, lepto vacc etc.Treatment:C4 5257036B 11/10/26 Lepto 3291022 09/07/26 Plan:Continue NexGard Spectra monthlyMilbemax monthly until 6 months then every 3 monthsReturn in 4 weeks for second Lepto vaccination with nurse Continue socialisation and training

HISTORY: O reports no problems except some mouthing/biting behaviour. EDUD all NAD. BIOP for 2wks. Has had 1st C3 vacc, due for 2nd now. Last wormed with breeder with Drontal 2+wks ago. Their other dog is on Simparica Trio monthly so they would like to go onto monthly product for Cinnamon too.OBJECTIVE EXAMINATION:Mentation: BAR, BCS: 4/9Hydration: MM pink & moist, CRT <2sDental: Gr 0/4 periodontal disease, deciduousOral exam: NADEyes: Clean & NAD. Full ophthalmologic exam not performedEars: Clean externally, NADHR: normal rhythm, no murmur detectedRR: regular, NAD on chest auscultation, normal effortAbdominal palpation: NAD and comfortableInteg: Skin and coat healthy, no obvious lesions or lumps noted, normal skin recoilMusculoskeletal: No obvious limping noted.Peripheral LNs: WNLNeurological: BAR. A full neurological exam not performedBoth testicles descended. No hernias identified.TREATMENT:- Protech C4 vaccination SC- Protech Bronchishield oral vaccination- MilPro 0-5kg dog tablet PO- Clipped some nails until he stopped tolerating it (used treats for distraction)PLAN:O to put dog onto AAR (from NSW breeder). Recommended monthly worming in 2wks with Nexgard Spectra. Next vacc due in 4-6wks. Recommended desexing 6-12mth old.