C10026047 / invoice 10000

History:Presenting complaint: Witnessed ingestion of rodenticide block this evening.Pertinent medical hx: Otherwise healthy.Current medications: None.Owner witnessed Roxy with a rodenticide block and removed it from her mouth. The owner is 90% certain there was no prior access, though rodenticide was placed a few days ago. Roxy is reportedly always supervised.Examination:Mentation: Bright, alert, responsive, but nervous and panting.Heart Rate: 112 bpmMucous Membrane: Pink, moist, CRT: 1.5sCardiovascular: No murmur or arrhythmia detected. Femoral pulses normokinetic, synchronous.Respiratory: Normal bronchovesicular sounds right and left lung fields.Body condition score: 5/9Abdominal palpation: Soft and comfortable abdomen throughout.EENO: No ocular or nasal discharge.Integument: No obvious abnormalities detected.Rectal exam: Not performed. Normal externally.Neurological examination: No cranial or peripheral neurological deficit noted. Full neuro exam not completedMusculoskeletal: Ambulatory, able to rise and ambulate without difficulty. Normal gait.Laboratory: 12 (11-14) secsAssessment:Patient presented for witnessed ingestion of a rodenticide block (brodifacoum 0.05g/kg). The LD50 in dogs is reported to be 0.2-4mg/kg. Emesis was induced successfully with apomorphine, and pink material consistent with the block was recovered. The estimated amount ingested was minimal (~2g or 0.1mg of brodifacoum which is 0.0025mg/kg), and is unlikely to cause clinical signs. However, due to the small possibility of prior unobserved ingestion, a series of PT checks has been recommended as a precaution. Initial PT is within normal limits.Client Communication:Discussed the low risk given the small amount ingested and successful emesis. Explained the rationale for serial PT monitoring due to the slight uncertainty of prior access. The plan is for a PT check tonight, another in 24 hours, and a final check at the 48-72 hour mark. Advised to monitor for signs of toxicity including pale gums, dyspnoea, lameness, or lethargy, and to seek immediate veterinary attention if any of these are observed. Advised to keep Roxy rested until the PT checks are completed.Treatment:Apomorphine 6.5mg tablet (crushed) administered to left conjunctiva to induce emesis.Metoclopramide 19mg (0.48 mg/kg) administered subcutaneously for post-emesis nausea.Plan:PT check in 24 hours, followed by a final PT check at 48-72 hours post-ingestion.Rest at home.Monitor for clinical signs of coagulopathy.Return for immediate veterinary attention if any concerns.    Vital Signs    Weight: 39.9;