C10020120 / invoice 10000

NOTES: 2.35kg

Not interested in food at all
Went 13 hours without eating
Has gone 36 hours without eating in the past

She is so energetic
Never appears sick or unwell at all
Full of beans from the minute she wakes up to when she goes to bed
Playing with toys
Chasing birds


Wakes up multiple times during the night
Ends up on owners bed and then will sleep

Owner left her for 5 hours yesterday.
Was left in the loungeroom
Did not injure herself or destroy anything

Did not urinate in the house at all which is great

Will not eat or drink unless the owner is present.

FOODS
Fresh boiled chicken- ate it happily last night. Would not eat it last night
Wont eat kibble (has tried water and warming and mixing with meats etc).  wont eat it
Will not eat may mince


Owner concerns-:
High energy
Not getting enough nutrients

We need to check 
Protein
Glucose
Liver


STOOLS
Normal brown or mustard stools in log shape
(possibly some blood noted or could have been something red she ate)

Eats bird poo

TPR by NH and all within normal limits Temp 39.1
Pink mm
Comfortable stomach

Ate RC puppy medium breed.  Happy to eat it in clinic

Try some HEMP drops
Start wtih 0.1ml orally once daily for 3 days and if tolerated increase to 0.1ml orally twice daily for 3 days
THEN update Jane 


Bloods
All within normal limits including electrolytes and baseline cortisol

HISTORY: Anita called and said that "the dog WILL NOT EAT and she is throwing up yellow bile, something is just not right with this dog" Requested JM consult to discuss this and potentially take bloods, booked consult for 12/3. 

I expressed concern that is Rondah is not eating and vomiting and needs to be see sooner as this is urgent. Anita then maintained that she is bright and happy and that "mum has taken her out as she is driving me nuts", she is still eating but being fussy with her food, she is going out buy chicken to try her on. i mentioned that despite her still eating minimal amounts, this is cause for concern and would recommend being seen sooner rather than later. Anita INSISTED that the dog is fine and she isnt concerned, she wants to wait to see JM on thursday. 

Defecation apparently normal. 
I have stressed that if anything changes, Rondah needs to be seen soponer. CH

WEIGHT: 3.1
HISTORY: See yesterday for summary of a 

Collapse episode
Vomited white foam
Recovered over the course of the day

Has had tobacco filter was eaten
Also ate some new chews

DDx
Insect bite analphylaxis
Nicotine toxicity
New chew causing issue.
addisons

Today-:

temp 39
3.1kg
Needs to put on some weight
Was feeding raw food but the owner is a vegetarian and finds it disgusting.  Dry food and mixing in wet can or roll is perfectly fine
On the Advance rehydratable which is a good choice for this puppy.

HR is 180
Pink mm
Comfortable abdomen
Seems fine with hip extension

Has the trainer coming to the home to help with training.  Dog is the boss in the house
Running around all day and not sleeping. 
Owner feels not sleeping enough
Has had three sessions with Cameron and feel that it is not working.  Also doesn't want to do too much training. Finds it exhauting. 

Is slightly underweight
Recc adding some slow cooked topper to dry food to encourage dry food eating
OK to mix kanagaroo roll with the dry food to encourage more dry food eating
Soak dry food and fee 

REcc bloods to rule out addison's and liver impact from possible toxicity
Possible changes in eosinophils if allergic reaction
Bloods declined today

Owner to continue with trainer
Add more dry food to the diet
If any further episodes then come in for bloods and baseline cortisol and electrolytes 
Spot glucose also