C10028310 / invoice 10000

Appointment Reason: Vomiting, Appointment Notes: Vomiting. O says that it looks like bile....OMV+ foamy, bile, not been herself. First started 11am today, has V+ 4-5 times since. Since O has come home, has been sleeping, hasn't V+ for an hour or so. Mouth all foamy. O offered treats, not interested. 2nd time she was offered ate the treat. Known scavenger, eats shoes. No known toxins in house. O:BAR MM pink, tacky, CRT 2sSkin tent prolonged EENT: NADPeripheral LNs WNL Temp: 39.0 HR: 240, no murmurs or arrhythmias auscultated Abd: soft, no FB palpated. Accepting treats in consult. A: 1. Acute V+ 5 times today. ddx: FB/obstruction, dietary indescretion, underlying endocrinopathy, GI vs extra-GI causes. P: Maropitant 0.55mL given SC today. Lectade sachets Proposed doing CP2 today, O declined, wants to monitor for now. If V+ overnight, bring to emergency immediately, may have FB. If still V+, revisit tmr AM for IVFT, supportive therapy.     Vital Signs    Weight: 5.4;