C10021309 / invoice 10000

Consultation Time: 10.30History: Persistent vomiting 24 hrs. Very lethargic. Abdominal pain.See previous history - episode of severe pancreatitis July 2025. Since has been on low fat diet, omega fatty acids for management. Has been well until last 24 hours.Subjective: QARObjective: Mm pale pink, crt 3, hr 140, rr 24, t 39.1 Pain Score (CSU): 1-2 /4CV:  NAD       RESP:   NAD . N RR/RE with occasional bouts of panting           GIT:   generalised abdominal tensing, lip smacking with cranial abdominal palpation, no mass effect detectedU/G:  minimal urine output last 24 hrsNeuro:  NADM/S:  NADInteg:  NADOphth:  NADLNs: NADLaboratory: CRP 2.2. Bloods sent to Aurora for full profileProblem List:  Acute onset vomiting. Developing diarrhea small amounts. Abdominal pain. Reduced appetite with reintroduction of foodDdx inc GE - inf/inflam/dietary including indiscretion v pancreatitis v FB v otherTreatment:  Maropitant 1mg/kg SC, ondansetron 8mg PO. Paracetamol 15mg/kg PO, codeine 4mg/kg POPlan: Symptomatic treatment pending progress. Imaging if no improvement    Vital Signs