C10024099 / invoice 10000

Reason: Ate SultanasConsult Time: 1130ECC Vet: JBR History:Billie presented this morning due to suspected sultana ingestion. Billie was presented with other household dog (Bohdi), who owner is fairly certain was the primary culprit. Small 15g box of sultanas with approximately half box suspected to have been potentially consumed. Ingestion occurred 10-15 minutes prior to presentation. Billie is currently being treated for otitis externa with her PCV/ She otherwise has been well, and is EDUD normally with no vomiting or diarrhoea. She has been bright and alert.Current Medications:None. Examination Findings: T: 38.9°C           MM: Pink and moistP: 116 bpm        CRT: 1-2s secondsR: 24 bpmHydration:Demeanour: BARHydration: EuhydratedWeight: 28.1kgBody Condition Score: 5/9Cardiovascular: No murmur or arrhythmia noted bilaterally. SSFP. Strong synchronous pulses.Respiratory: Normal soft BVs bilaterally.Ocular: No blepharospasm, epiphora or episcleral injection noted bilaterally.Ears: No lesions or discomfort noted.Oral exam: No lesions or masses noted.Abdomen: Soft and comfortable, nil fluid wave or nausea noted.Urogenital: No lesions or discharge noted.Peripheral LNs: All LNs WNL for size, non-fixed, non-painful.Integument: No lesions or alopecia noted.Musculoskeletal: Full exam not performed – weight bearing evenly on all four limbs.Neurological: Full exam not performed – mentation appropriate, no overt dysfunction noted.Rectal exam: NPLaboratory: None. Procedure: Induced emesis> Administered ~6.5mg apomorphine OTM> Vomited yellow bile. No evidence of sultanas. Assessment:Problem list:- Sultana ingestion (suspected)Billie presented today due to concern for possible access to sultanas. Her history and the contents of her vomitus are not supportive of Billie being the culprit, with other household dog (Bohdi) producing multiple sultanas. Advised there is minimal concern for potential ingestion, but discussed clinical signs to monitor for ( lethargy, vomiting, diarrhoea or hyporexia).Treatment:Maropitant 1mg/kg IV Plan:Monitor for clinical signs. Recheck if concerned. Referral letter sent - YES    Vital Signs    Weight: 28.1;       MMColour: Pink;       Temperature: 38.9;       HeartRate: 116;       BodyScore: 5/9;       RespirationRate: 24;       CRT: 1-2s;