C10030405 / invoice 10000

Appointment Notes: Paws App Details:Booking Type: Consultation (Vet)Booking Notes: Hasn't eaten for 48hoursHistory: Clinical signs/Progression:Wednesday night ate dinnerPicked some ground beef off his food this morningCan be fussyCan swkip meals occasionallyNo vomitingNOrmal poo since WedStretching and licking his lipsScratching his mouthNot had his apoquel for a few daysUnsure of drinking, urinating normallyNothing eaten new recentlyDiet: kibble with wet, morning and nightVaccination:Parasite prevention:Current medications:Objective: Temperament:Ophtho:Otic:Oral:Nose:CV/Pulses:Resp/Chest:U/G:Abdo palp:Neuro:MSK:Integ:Hydration:LNs:Other findings:Assessment: Problem list:Plan: Recommend full blood test including IH CPLAdvised supportive care pain relief and anti-nausea medication today, encourage small meals of bland low fat food (boiled chicken breast or RC Low Fat canned food)Treatment:Maropitant 1mg/kg SC in scruffBuprenorphine 0.15mg/kg IM lumbar musclesParacetamol 15mg/kg PO BID    Vital Signs    Weight: 19.2;