C10025505 / invoice 10000

REASON: possible grape ingestion - induce vomiting
Nurse: AM
Presented by: Emma
-------------------------------------------------------------------------------
SUBJECTIVE / HISTORY: 
Was out for a walk & O noticed was snuffling around some grapes on the ground.
Not sure if ate any.
-------------------------------------------------------------------------------
OBJECTIVE / EXAM:
ASA Status (1-5): 2
BCS (1-9): 5
DS (0-4): 0-1

T: -
P: 120
R: n

APPEARANCE/DEMEANOUR: bar
SKIN & COAT: n
EARS: n
EYES: n
ORAL: n
MM: n
CVS: n
RESP: n
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n
n : Normal     - : Not Examined
-------------------------------------------------------------------------------
ASSESSMENT: 
Problems:
possible grape ingestion

O worried about possible toxicity, decided to make vomit.

Admitted, given an apomorphine tablet dissolved in 1ml water PO.

Vomited, no grapes seen in vomitus.

Medication:
metoclopramide 7.5mg (1.5ml) im after vomiting finished.

Eags - normal

Ongoing medication prescriptions? Renewed prescriptions: -
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
-------------------------------------------------------------------------------
PLAN / CE: 
Rem hc & vacc already set.
Finalised by CM
Rec = Recall     Rev = Revisit     Rem = Reminder

O didn't want to pre-book, prefers to book online.

REASON: hc + introduce rupert to this clinic 
Nurse: - 
Presented by: Emma + Claire
-------------------------------------------------------------------------------
HOME CARE AND PREVENTIONS
Vaccinations: 4th oct 2025. 
Nutrition: twice daily. kibbles (not the grain free one)
Worming: nexgard spectra middle of month. 
Hwp: ^
Flea Treatment: ^
CE: - 
-------------------------------------------------------------------------------
SUBJECTIVE / HISTORY: 
Has been to walkerville vet. 
had past AGs issues - would like it to be checked. Has been scooting recently. 
had ear infections 
sensitive GI - had diarrhoea all the time when he's small. Now he has runny poo about once weekly (after going to doggy day care and ate new food)
allergic to chickens/ turkeys
-------------------------------------------------------------------------------
CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
nil 
-------------------------------------------------------------------------------
OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 4
DS (0-4): 0 

T: - 
P: 100
R: <30 

APPEARANCE/DEMEANOUR: BAR, lovely
SKIN & COAT: glossy coat
EARS: nad 
EYES: nad 
ORAL: no tartar/ gingivitis observed
MM: p, m, <2s
CVS: reg, nma, fpss
RESP: clear on ausc
ABDO/GIT: slightly tense on palpation - stress
UROGEN: nad 
NEURO: nad, full neuro exam not performed 
MSK: ambulating well in cons, good ROM bilaterally 
LN: nad 
n : Normal     - : Not Examined
-------------------------------------------------------------------------------
ASSESSMENT: 
Problems:
scooting on ground

Ddxi:
AGs issues 

Further Procedure & Diagnostic Needs [Client Response]:
AG expression - both full, normal brown liquid content, easy to express

Medication:
- 

Ongoing medication prescriptions? Renewed prescriptions: - 
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
-------------------------------------------------------------------------------
PLAN / CE: 
C5 due October 2025 - with vet. 

Finalised by jf. 
Rec = Recall     Rev = Revisit     Rem = Reminder