C10018704 / invoice 10000

04/03/2026 LVU - No V+, still a little lethargic but o feels overall ok. Will keep eye on her and call if deteriorates or if V+ continues.  03/03/2026Call Matt for updates/discharge not Cathie: 0421398049Appointment Notes: Been to NEVS last night. This morning still not well, panting, uninterested in food, lethargic.NOTE FROM NEVS HX: The owner, Matt, called this morning regarding Chico. Chico has slept through the night but still seems lethargic this morning. Chico did not want to urinate this morning when let out. There has been no further vomiting overnight. Options given to the owner included: (1) Recheck at NEVS and start supportive care before transferring to Belrose/TPS Med (2) Owner to call Belrose at 8am and organise blood work +/- abdominal ultrasound + supportive care. Patient seems stable enough for Owner to wait until Belrose opens.SubjectivePresenting Concerns:  Chico presented for acute vomiting, lethargy, and signs of pain that began last night.    Historical Conditions:-   Diagnosed with inflammatory bowel disease, managed with diet.-   History of vomiting episodes in January/February, suspected to be from eating possum droppings.  Diet/Appetite:-   Inappetent this morning.  Drinking/Urination:-   Not interested in drinking water since last night.-   No urination or defecation reported today.  V/D/C/S:-   Vomited 5 times last night over approximately 1 hour.-   No further vomiting since receiving an anti-nausea injection last night.  Current Medications:-   Received a pain relief injection and a 24-hour anti-nausea injection at an emergency clinic last night.  Lifestyle Risk Factors:-   Has access to a yard with potential exposure to possum droppings.ObjectiveMentation: Lethargic at home, anxious in the clinic.  Wt: —  BCS: --/9  T: Not taken  P: —  R: —  MM: pink/moist. CRT < 2sec.  Hydration: Suspected mild dehydration.    Emotional Assessment: Anxious.    Eyes: Clear. No discharge or erythema OU.  Ears: Clean with no discharge or erythema AU.  Nose: Clear, moist without discharge.  Throat: No inducible cough upon tracheal palpation; no palpable masses.  Oral: Calculus and gingivitis absent. No masses or other lesions.  Cardiovascular: No murmurs or arrhythmias, strong synchronous pulses.  Respiratory: Normal bronchovesicular sounds bilaterally.  Abdominal: No organomegaly or mass effects. No pain on palpation.  Lymph Nodes: No peripheral lymphadenopathy.  Integumentary: No evidence of ectoparasites, full coat with clear skin.  Neurologic: No ataxia noted.  Musculoskeletal: Ambulation normal, no lameness observed.  Urogenital: Normal external anatomy.  Rectal: Not performed.AssessmentAcute vomiting and lethargy – DDx: Inflammatory bowel disease flare-up, gastroenteritis (dietary indiscretion), pancreatitis, foreign body obstruction. The clinical signs are consistent with an exacerbation of underlying inflammatory bowel disease or acute gastroenteritis.PlanPending Diagnostics:-   Bloodwork was recommended to assess organ function and hydration status.  Medications/Treatments:-   Hospitalization for IV fluid therapy was recommended due to inappetence for water and risk of dehydration.  Additional Discussion:-   An abdominal ultrasound may be considered if clinical signs do not improve with supportive care.BLoods consistent with pancreatitis, tx = fluids, maropitant    Vital Signs    Weight: 33.2;