C10026347 / invoice 10000

HISTORY:Owners noticed lumps and bumps on Kruze and then his eyes started to swell. He was constantly rubbing his head.Owner gave 10mg Zyrtec at home.Current meds: zyrtec 10mgProphylaxis: UTDPre-existing conditions: nilAccess to toxins eg. Rodenticide: nilTRIAGE:HR: 120RR: 36Temp: 38.5Mm: pinkCrt: <2Mentation: QARPain Scale (0-4): 0Hydration status (%): hydration clinically adequateEXAMINATION:Body Condition Score: 6/9Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gaitMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4):  2- Abdominal: no detectable pain on abdominal palpation, normal gut sounds- Rectal: no detectable abnormalities, faeces:  normal Urinary: NSFReproductive (incl ext genitalia): NSFIntegument/Ears: facial angioedemaLymph Nodes: peripheral lymph nodes normalEyes: NSFPROBLEM LIST:Facial angioedemaPruritisDIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Hypersensitivity reactionASSESSMENT:Hypersensitivity reactionTREATMENT:Niramine 0.2mg/kg SCPLAN:Kruze is going home for monitoring.    Vital Signs