C10022431 / invoice 10000

Reason: Excessivly PantingAppointment Notes: Owners went out and left cooper in the bedroom with the air con on. Came home and cooper is excessivly panting and wont calm. also wont eat food when offered. NGHISTORY:Presented for excessive panting and restlessness. The owner reported Cooper went for a run in the park this morning, and upon return was panting and running around the house for 10-15 minutes before settling. The owners then left at approximately 9:15 AM, leaving Cooper in a bedroom with the blinds down, air-conditioning set to 22 degrees, and fresh water, which is their normal routine. Upon their return, Cooper was found to be panting excessively. He refused to eat a piece of apple, which is unusual for him. The panting was described as being at a high level and speed for a prolonged period.Primary Vet diagnostics: An X-ray of the back left knee was performed six weeks ago for a limp, which showed the knee to be stable.Current medications: none advisedVaccination: UTD.Parasite Prevention: UTD. Includes annual heartworm and flea prevention.Pre-existing conditions: Suspected cruciate ligament strain six weeks ago, which has since resolved.Access to toxins: none. The owner noted a person has been throwing raw meat into the local dog park, but they have been vigilant in preventing ingestion.EXAMINATION:HR: 130RR: PantingTemp: 38.6SPO2: 99%Mm: Pale PinkCrt: <2Mentation: BARBehaviour concerns: not discussedBody Condition Score: 4/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically appropriateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation, normal bronchovesicular sounds bilaterally, tachypnoeic, no nasal dischargeNeurological: NSFMusculoskeletal: Clinically normal ambulation, Hunched posture, tense in thoracolumbar region. Non responsive to methadone. Gastrointestinal:- Oral: normal, no oral pain identified, dental score (1-4):not graded- Abdominal: no detectable pain or other significant abnormalities on abdominal palpation- Rectal: not performedUrinary: No significant findings.Reproductive: No significant findings.Integument/Ears: No significant findings.Lymph Nodes: No significant findings.Eyes: Both eyes normal in appearance and comfort, no significant blepharospasm, proptosis or other extraocular abnormalities.PROBLEM LIST:- Excessive panting- Restlessness- InappetenceDIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:- Suspected spinal injury (e.g., intervertebral disc disease)- Toxin ingestion- Metabolic disease- Infectious processDIAGNOSTICS:Bloods were taken for in-house testing:- Please find attached to the patient record.> Complete Blood Count- Significant findings: NSF> Biochemistry- Significant findings: NSFASSESSMENT:Cooper presented for acute onset of severe panting and restlessness. Examination is largely unremarkable. Given the clinical signs, a spinal injury is suspected or primary respiratory disease. Bloodwork has been performed to rule out other underlying causes such as metabolic disease, systemic infection, or internal bleeding and has come back unremarkable. TREATMENT:An intravenous catheter has been placed.Methadone IV was administered for analgesia at 0.2mg/kg (0.28mls)PLAN:It is recommended Cooper is hospitalized for observation and further diagnostics at emergency such as radiographs of the chest and spine. Further management will be determined based on diagnostic findings.Home into owner's care once stable and a diagnosis is reached.CLIENT COMMUNICATION:Discussed the possibility of a spinal injury, such as a slipped disc. Explained the rationale for blood testing is to rule out other serious conditions like liver or kidney issues, internal bleeding, or significant infection. The owner was advised that blood results would take approximately 20 minutes. The plan to administer methadone for pain relief was discussed and consented to. The owner was advised that Cooper would be kept in the treatment area for monitoring until a diagnosis is made. The owner has pet insurance. The owner has consented to the proposed diagnostic and treatment plan.    Vital Signs    HeartRate: 120;       RespirationRate: pant;       Temperature: 38.6;       CRT: 1-2;       MMColour: P;