C10023809 / invoice 10000

Reason: V+ With BloodConsultation Time: 06:27 pmHistory:  - Presented for vomiting.- Owner suspects ingestion of unknown material during a walk yesterday morning.- When owner arrived home yesterday afternoon found a vomit of food.- She ate her dinner but was a little reluctant to eat at first. Hadn't vomited by morning but when owner came home this afternoon he found two vomits again of food and there was a small amount of streaky blood/mucous in the vomit.- Vomitus also contained grass, leaves, and some possum poo- Owner reports she is quieter than normal.Current meds: noneProphylaxis: UTD. Healthy Pest Plus.Pre-existing conditions: noneAccess to toxins: noneCurrent Diet: unknownSubjective:Mentation: QARVitals: HR: 120RR pantingMm: pinkCrt: <2sTemp: 39.4Examination:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): no clinical signs of dehydration (<5%)Cardiovascular: No murmur auscultated, regular rate and rhythm, pulse pressures strong and synchronousRespiratory: Clear bronchovesicular sounds bilaterally. No change to respiratory effort and no nasal discharge.Neurological: alert mentation, no ataxia or weakness. Full neurological assessment not performed.Musculoskeletal: ambulating normally, no palpable neck, spine, limb or joint pain.Gastrointestinal: no detectable pain on abdominal palpation and normal gut soundsRectal: not performedUrinary: Bladder soft and not painful on palpation.Reproductive: NSFIntegument/Ears: Normal skin tent, no sign of ectoparasites.Lymph Nodes: peripheral ln wnlEyes: No ocular discharge or inflammation.Problem List:- Vomiting- Suspected dietary indiscretion- Mild lethargyAssessment:Gastroenteritis secondary to dietary indiscretion.Differentials:Gastrointestinal obstructionPlan:Two options discussed with owner:1. Symptomatic treatment: Antiemetic injection and feeding a bland diet (e.g., cooked chicken and rice) in small, frequent meals.2. Further diagnostics: Blood work to assess hydration and organ function, and imaging (radiographs or ultrasound) to investigate for a potential obstruction.Owner elected to run bloods and if all wnl proceed with symptomatic treatment.Dsicussed blood gas vs full bloods and decision made to start with blood gasLaboratory:PCV 42 TS 62Treatment:maropitant 1mg/kg scRecommended follow up:Monitor closely at home, bland diet- eg chicken and rice or RC Gastrointestinal. Re-present for further diagnostics (blood work, imaging) if vomiting continues, lethargy worsens, or if there is a refusal to eat.    Vital Signs