C10018623 / invoice 10000

Reason: Tfr From ISVHAppointment Notes: History attachedHISTORY- person who presented: F owner- reason presented: 1wk difficulty defecating, 2days off food and quieter than normal. Has a confirmed UTI from last week. Been at reg vet and has defecated and a lot brighter since having microlax. Had blood tests at reg vet (suspected mild CKD vs dehydration). Recently diagnosed as hypertensive. Booked in with reg vet for full abdo USx on 12.3.26- any other O concerns: NIL- urinating normally- no VDCS- previous liver/kidney issues: O reports mild chronic renal Dz (recently diagnosed)- med Hx: O reports Hx of pancreatitis 12mths ago, current dental Dz and 1wk constipation. Hx of vaccination reaction when kitten --> needed niramine. Mild DJD. Hypertension (started on amodip yesterday). Mild CKD (recently diagnosed)- current meds: 1) ondansetron 4mg - half tab TID - next due est 2am on 12.3.26 (based on time of dispensing on record)2) Amodip 1.25mg (half tab PO - next due PM of 12.3.26)3) maropitant 1mg/kg SID - next due PM of 12.3.264) microlax tube - next due AM of 12.3.265) actilax 3ml BID - next due AM of 12.3.266) clav drops BID - last given AM of 11.3.26 (COMPLETED COURSE)7) solensia SQ neck inj - next due on 10.4.268) 4cyte oral liquid - next due on 12.3.269) mirtazapine 15mg (quarter tab EOD - next due PM of 13.3.26)- current diet: wet gastro biome- change in diet: NIL- last ate: 2 days ago- Hx of known trauma/access to toxins/known to eat random objects: NIL- indoors exclusively- preventatives: UTD with revolution plus. Not UTD with F3 or FIV vacc due to Hx of vaccionation reactionsPHYSICAL EXAMINATION --> defecated twice moderate sized soft brown stools- Demeanour: BAR- Temp: 38.7- HR: 168bpm- RR: 28bpm- BCS: 3/9- Dental Grade: C3/G2 --> worst 200 arcade premolars- Gum colour: p, m- Capillary refill time: <2s- Hydration status: enuhydrated- EENT: NAD- Thoracic auscultation: lungs bilaterally clear, no audible murmurs or arrythmias- Abdomen: NAD, no evidence of herniation or firm stools on palpation- Integument: NAD- LNs: NAD- MSK: reduced ROM across all 4's by 15% with no evidence of pain. Generalised moderate muscle wasteage- Neuro: spinal palpation unremarkable, no ataxia, no head tilt or circling, no knuckling of paws, no drooped face, PLR and palpebral reflex bilaterally normal. full neuro exam not performed- Urogenital: externally NADASSESSMENT:- UTI (currently treated) --> suspect unrelated to presenting complaint- constipation --> MANAGED- G3 dental Dz --> suspect 200 arcade molar extractions required and playing into inappetence- moderate DJD --> MANAGED- blood work suspicious of mild CKD with concurrent hypertension vs 2ndry changes due to inappetence and dehydration- low BCS --> suspect related to DJD vs age related changesPLAN:Discussed findings:- DJD: continue with 4cyte + solensia. O consented- Dental Dz: recommend dental with full dental xrays with suspected extractions. O happy to discuss further with reg vet on 12.3.26- UTI: recommend retesting urine 72hrs post last dose of clav drops as part of course. O happy to follow through with reg vet- Constipation: discussed 3V abdo xrays for completeness for constipation monitorring, O declined. O consented to continue with plan as per reg vet with IVFT@maintence and ondansetron dose overnight and reassess with reg vet in the AM of 12.3.26 with possible abdo USx. O consented- suspect early CKD: recommend repeat bloods 72hrs post last bloods to assess if findings reflective of true renal pathology vs dehydration from clinical presentation. O happy to follow up with reg vet- hypertension: continue with Amodip and reassess BP parameters overnight 2-3 times before reassessing at reg vet. O happy to follow through- initial est: $1000-2000 for hosp + IVFT@maintence + next dose of ondansetron at 2am on 12.3.26 (O approved dispensing 1 unit - aka 2 doses - instead of going home to get medication and bring in to administer)- costs ongoing 12hr care: transfer back to reg vet - CPR: O consented- BEST CONTACT: kathleen - 0412697161- Next update: 6am on 12.3.26- ADMITTED BY JB--- 11/03/2026 19:42:45 JFB:INHALED all of wet food RC GI and drinking water. BP 125/90 MAP 95. Had another soft stool post admission (normal colour). Expected given had microlax this PM at reg vet and on oral laxatives. Charted NO FOOD FROM 3AM ONWARDS (having full ABDO USx with reg vet on 12.3.26) - JFB--------------------O/N - AWH---------------Examination: Refer to smartflow for TPRPassed small faecal nuggets overnightGroomed and brushed 0300Treatment: - LRS 2.5ml/kg/hr - Fasted from 0300Plan: -> Reg vet today for U/S    Vital Signs    Weight: 1.1;       

IGNORE    Vital Signs    

IGNORE    Vital Signs