C10027523 / invoice 10000

History:Drop offHas been fastedFor the past 48 hours has had vomiting and diarrhoea and really flat at homeNo current medicationsOptimmune kibble, chicken and riceLikes to chew on plants at home - owner brought in the one that he has been chewing onExamine: Mentation - BARMM's - pink and slightly tacky, crt<2secTeeth - clean Eyes -clear Ears -clear Nose -clear HR - no obvious murmurs or arrhythmia, strong and synchronous femoral pulsesRR --clear bilateral lung soundsAbdo --comfortable but feels very squelchy, no obvious organomegally or massess palpatedLns - wnl Integ - clear MSK - ambulating well, full MSK delayed as so crazy Urogenital - clear Rectal - frank blood on rectalLaboratory: Mild increase GGTMild increase lactateMild haemoconcentration Mild basophiliaOccasional rod on sediment for urine but not inflammatory cells present Differential Diagnosis: HGE?Dietary indiscretion from plant chewing?Mild uti?Client Communication: Discussed above--- 13/03/2026 11:09:25 BB:Tried calling left a message--- 13/03/2026 11:24:53 BB:Tried calling again --- 13/03/2026 11:43:18 BB:Called and spoke to KerryDiscussed blood resultsRecommend supportive care and intravenous fluids - ideally 24hours of rehydrationNo one here overnight as 24hour care - owner very worried about nobdy being here overnight. Wants to go to emergency now and get started with everything here rather than transferring later. Said i would check with how busy they are as if there are emergencies there she may be waiting a long time.Nurse Obs: Defecating frank blood on walk twiceAlso cocked his leg and didn't urinate Treatment: Placed catheter in LFL - fluids and supportive care had not been started yet as was awaiting call back from ownerNote: galium apraine plant according to chat gpt for the plant that owner brought in - not toxic to dogs but potential to cause mild GIT signs Plan:Transfer to 24/7 for supportive careSuggested to owner faecal testing and repeat urine testing as well    Vital Signs    Weight: 10.6;       MMColour: pink;       Temperature: 39.4;       HeartRate: 120;       CRT: 2;