C10021641 / invoice 10000

Reason: V+, DistressedVomited once today, has had 3 in last few weeks.Not a great eater  eater, for breakfast tiki cat food.Does usually jump at home Usually urinates and defaecates ok in litter boxExamine:  CVS/resp ok, HR=180Abdo palp- full off faeces.Walking ok.LNB's ok.Radiology:  vd and lat rads- very full large bowel- obstipation.Assessment:  obstipation.Treatment:  microlax enemas x 2 nd most likely return tomorrow for  full enema if no passage of faeces.Cerenia 0.55 mls s/c.Consider PEG 350. Solution by nasogastric tube.    Vital Signs    Weight: 5.5;       

Appointment Notes: booster vacHistory:Here for boosterIndoor onlySingle pet householdEDDU normalMaybe urinating a little moreNo V+ or D+Started brushing teethWould like teeth checked while hereExamine:BARBCS 5/9Pink mm Crt 1 sec HR 160bpm no murmurRR 16bpmEyes normlaEars normalMouth Gd 3/4 dental dzLN normalAbdo palp comfortable- kidneys feels small and firmMSK normalSkin/coat normalAssessment:Fit for vaccinationTreatment:F3 ScRecommend booking in for dental procedure with PreGA bloods    Vital Signs    Weight: 5.6;       

Reason: Check UpAppointment Notes: beaches vet sending history -SBHistory: Eddu normally Wants teeth check Raw pet mince from supermarket - cat specific Refuses kibbles No vomiting Gets diarrhoea whenever they change the food --> really sensitive Has been a bit fussy with her food. But when she is enjoying her food she eats a lot Approx 150gm meat per day, on a big day she will eat close to 1kg of meat Seems about the same weight recently Pretty sedentary, cant jump much. Pretty normal for her. Inside only. O doesnt do flea tick worming Examine: Bar Hr 140 no murmursClear lungs Mm pink and moist crt <2sDental grade 2-3/4 BCS 5/9 LN not palpably enlarged Healthy coat Ambulating normally Een clear and clean Assessment: Fit for vax Dental grade 2-3/4 Plan:1. Tricat adm sc scruff - due 4 weeks for booster2. Rec dental, O is going to try to brush teeth. Ok'd free dental check in 3-6 months time. Estimate $700-800 for DSP and dental rads, up to $1800 if staged dentalAdv tick prevention ideally (low risk indoor only, but still some risk particularly in warmer months)    Vital Signs    Weight: 5.5;