C10024820 / invoice 10000

Reason: Vomiting / ShakingAppointment Notes: Paws App Details:Booking Type: Consultation (sick or injured)Booking Vet: - Any -Booking Notes: Came in today regarding recent vomiting Eddie did a huge vomit x 3 tonight at around 8pm. He then was shaking and looked uncomfortable. Think we need the meds that were suggestedSunday night / ealy hours of monday morning 4am woke up vomitedOther dog gets upset when Eddie vomits.Eating and drinking normally.Fed him monday morning - 3h after vomited again.Last night vomited in kitchen in eveningOnce he's sick he's very uncomfortable Seems so unsettled Did one diarrhea poo inside front door 3:30am, then this morning vet wet stoolFeeding 6:30am, walk them at 7:30am. And then feeding at 5pm in eveningPast month and a half There is also shakingScavenging behaviourThere are mushrooms in the garden which are presumed to be poisonousFalse parasol - toxic mushroomReason:  Recheck  History: Brought in by: *** duration of problem = *** medications: *** Any issues with medications (update allergy section) Examine: Treatment: Diagnosis: Plan:Reminders  Updated: YES/NO    Vital Signs    

Reason: VomitingAppointment Notes: BNHistory: Vomited this am, pale yellow fluid, does chew random stuff in the garden, had more V+ in the early week, possibly eaten some mushrooms growing in the garden. No D+, did poo in the shower twice when sick - but they were formed. Frequent recurrent 5am vomits, over the last few weeks, is fine during the day. Energy levels and play all normalDiet: hills diet kibble (unsure which) been on for a long time. Examine: 1. BCS:     2.5/52. Integument: nad3. Musculoskeletal: nad 4. Teeth: minimal calculus no gingivitis5. Eyes: nad 6. Ears: nad 7. Lymph Nodes: nad 8. Cardiovascular/Circulatory:   nad  - no murmur noted9. Respiratory/Pulmonary:  nad 10. Uro-genital: nad 11. Gastrointestinal: nad - abdo palp comfortable, no nausea, no pain, no mass effect, eager for treats in consult->11a Anal Sacs: not examined 12. Behaviour: BAR, 13. Other: temp and hydration normalDiagnosis: Dietary indescretion - confirmedRegurg, dysbiosis, gastritis - for long term morning v+?Treatment: Milpro given in consPlan:Trial GI biome diet. Couple of weeksIf not improving consider antacid therapy (losec pm) and/or abdo ultrasound (esp if worse)Consider muzzle training for garden to prevent scavenging.    Vital Signs    Weight: 8;       MMColour: p&m;       Temperature: 38.3;       HeartRate: 124;       BodyScore: 2.5/5;       DentalGrade: 1/4;       RespirationRate: 24;       CRT: <2;       

Hx from Sash NRAcute V+, normal appetite.    Vital Signs