C10022215 / invoice 10000

Reason: D++, Vomited CCEMAppointment Notes: D+ for 3 days, vomited 10min after breakfast this morning, undigested. O has been at work all day so not sure if keeping down food and water since. ADV to give small amount of bland food now (330) to see. Puppy still BAR . If pup can't keep food and water down now adv to take to emergency instead. CCEMDr Elise Kinsey N11075History:- Presented for diarrhoea since Monday (10/03/2026) and one episode of vomiting this morning after breakfast.- Diarrhoea described as light brown, very watery, occurring 2-3 times per day in large amounts. Straining noted. No blood observed.- Previous episode of bloody diarrhoea approximately one month ago, diagnosed as dietary indiscretion (grass, hair, bones).- Eats grass. Kept food down after vomiting this morning (chicken at 2:30pm).- Prophylaxis (flea/tick/worm): Up to date with Simparica Trio. Next dose due at 16 weeks.Examination:Mentation: Bright, alert, and responsive.BCS: 5/9Eyes: Grossly normalEars: Grossly normalMouth: MM pink and moist, grade 0/4 dental, CRT <2sNose: Grossly normalIntegument: Grossly normalCV: NAD on ausc in regards to rate, rhythm or sounds. HR 100bpm.Resp: No crackles or wheezes ausc in any field. Grossly normalAbo palp: Soft and non-painful on palpation, no masses palpatedNails/feet: Grossly normalMusculoskeletal: Grossly normalLNs: No LN enlargement palpatedUrogenital: Grossly normalNeuro: Grossly normalTemp: 38.6CAssessment:1. Acute gastroenteritis (vomiting and diarrhoea)2. Suspected dietary indiscretion vs. infectious cause (bacterial/parasitic)Treatment:1. Bloods taken for haematology and biochemistry panel.2. Pro-Kolin paste dispensed.Plan:1. Owner to collect a faecal sample for a faecal PCR panel to investigate infectious causes (e.g., bacterial, coccidiosis).2. Start Pro-Kolin paste twice daily.3. Feed a bland diet in small, frequent amounts for the next 24 hours.4. Discussed blood test results will be available tomorrow. The PCR test will also be sent off once the sample is received. Advised owner on costs.5. Re-present if any concerns, particularly lethargy, inappetence, or worsening clinical signs.    Vital Signs    Weight: 17.3;       

Reason: VaccinationsAppointment Notes: Overdue reminders  ------- Sms reply: YHistory: Presented for third vacc - no SE noted alst vacc. No CVSD. ABU good. Doubled in size in a month time. On puppy large breed kibbles and monthly simparica trio - last given 16/12/26. No CVSD noted. ABU good. Examination: HS LS EENT LN fine. Pinkish moist mm. Teething still. CRT<2S. Abd palpation nsf, both testicles descended into scrotum. BCS 3/9. BAR and treat motivated. Laboratory: - Assessment: Fit for vaccTreatment: Nobivac lepto2 SQ @ R shoulder - next due 1 year C4 vanguard SQ @ L shoulder - next due 1 year Can start socialization 2 weeks after today Continue monthly simp trio/nexgard spectraCan plan to neuter after 1.5y and above Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:    Vital Signs    Weight: 8.1;       

Reason: Health Check Appointment Notes: ------- Sms reply: YHistory: Advance pup kibbes + chicken minced and pumpkinDewormed and detick with oral preventive unsure brand @ breeder 2 weeks ago - BIOP 5 days, no CVSD. ABU good. Has another border collie at home. Getting along well. Examination: BAR. Treat motivated. Pinkish moist mm. HS LS EENT LN fine. BCS 4/9. Abd palpation nsf. Testicles descended but very small - to check again next visit to see if both palpable, only 1 palpable todayLaboratory: -Assessment: Fit for vaccTreatment: Checked microchip, none detected. Scanned by Ryan too, cant find one on body - checked with system, it was registered in NSW PET registry - O said she will bring dog back to the clinic in Charlestown, the vet said they can do it again FOCVanguard C4 SQ @ intrascapular - next due 3-4 weeks Vanguard B oral PO administered - annualNobivac lepto2 (1/2) - next due 3-4 weeks Continue monthly nexgard spectra    Vital Signs    Weight: 4.25;