C10031212 / invoice 10000

Reason: Flat Last Few Days, Hasnt Poo, Now Not EatingHistory: No defecation seen since Thursday, possibly going in yard as has doggy door but usually very regular on walks and hasn't been doing them on the walks. Not constipated or trying to goIntermittent groaningDemeanour - flat today, flat since ThursdayEating - reduced intake over the last few days, had small amount of food this AMDrinking - normalV/d/c/s - noneUrinating - normalNo known traumaToxins - none aware of but does go on the farm regularly Parasite prevention - bravecto UTD with IW q 3 monthsDiet / scav / changes - normal diet is meat balls and cooked chicken (occasionally raw but not recently). Scavengers on farm - eats hooves, crickets, horse poo, occasional bone. Got some rice that was 1.5 days old. Medications - 4 cyteMedical hx - broken forelimb when puppy Examination: QAROral: no jaw pain, MMs P&T, no oral lesionsEyes/ears/nose NADChest: no murmur or arrhythmia, pulses normal, lungs clear, respiratory effort normalAbdomen: tense and 1x lip lick LNs WNLsIntegument NADMSK: no neck/spinal pain, MLP R hind, no limb pain Coat: NADRectum: AGs full and easily expressed with normal content. Normal faeces present NormothermicAFAST: 0/4 FFAssessment: AnorexiaLethargyGroaningOwner Communication:Reduced appetite and lethargy > vague signs, could range from mild gastro to pancreatitis. Recommended to start with full blood work up. Owner consentedResuscitation Code:Estimate for first 12 hrs:Ongoing estimate /12hrs:Laboratory: PCV TPBG 5.3LactateBlood gas: respiratory alkalosis (pain, stress, shock). Electrolytes normalChem 10 unremarkable - QPL normalCBC: mild neutrophilia 11.85 (2.95-11.64), thrombocytopenia Treatment: Plan:    Vital Signs