C10023302 / invoice 10000

Reason: D+ For 3 Days, V+ With Blood Today, 40.8 TempAppointment Notes: JMHistory:Transfer from RV - see prior notes3 day Hx of D+ - initially watery, then Single V+ this afternoon  - around 50c piece size browny/ red v+ with obvious frank blood. Still eating - was eating biscuits at 2pm this arvo.  Normal behaviour otherwise BIOP since SeptemberIndoor only entire timeNil Hx GI upsets other than had loose stools on adoption as was on supermarket cheap food - nil GI issues since transition to RC food. No known access to toxinsExamination: Mentation: QARHR: 190   	RR:	   MM:   Pink + Moist 	CRT:   <2s	FP:   Strong and SynchronousBCS:   4/9T:  40.0EYES:   Normal conjunctiva, sclera, and cornea; lens clear; nil discharge E/N/T:   Nil lesions/ discharge notedCVS:   No murmur or arrhythmia, pulses strongRESP:    Normal BV sounds bilaterally, normal resp effortGIT:   Squelchy abdo w/ ++ GI gas; no pain/mass/FF  noted. RECTAL:   Not performed. Brown D+ in cage. U/G:   Bladder soft + comfortable, small size MSK:   Ambulating x4, no overt abnormalitiesNEURO:   Normal mentation, normal gait; full exam not performed SKIN:   Skin tent WNL, NSFLN:   Peripheral LN palpate WNL Laboratory:PCV/TP 38/68EPOC:PH 7.386 (WNL)Rest WNLCBC ->  All WNLBiochem ->  All WNL Assessment:Suspect Gastroenteritis - young kitten, predominantly symptom is diarrhoeaSingle haematemesis eventBAR and Eating/Drinking normally at home + no clinical or bloodwork changes to suggest dehydration -> No indication for IVFT Treatment: Trial gastro kitten + RC gastro food next few days Wrote script for ondansetron - 1/2 4mg wafer PO q 12 PRNOnly to give if required - fo now, has not vomited in >4hr, so inclined to just see what happensPlan:Gave O stool collection kit - to collect sample if possible and drop to RV/ AEC for faecal PCRAbdo U/S recommended If no improvement, but no point pursuing this this afternoon as has stomach full of food.    Vital Signs