C10031267 / invoice 10000

Reason: recurrent pruritus and GI upset Subjective: Mike had another episode of eye redness and pruritus yesterday Seemed to come on all of a sudden He has also had intermittent vomiting - mostly after wet food. Happening almost daily Has had 1 bout of softer faeces a few days ago, none since He has recently transitioned to adult food and problems seem to have increased in frequency since this change Occasionally doesnt want to eat as much, also some lethargy No current meds UTD preventatives Behaviour/Temperament: Fearful / Anxious / Stressed / Relaxed / Confident / TimidFAS Score:Relevant Pre-Visit/EMR Information:Objective:HR/PR: 144Temp: 37.8MM:Pulse: Resp:Hydration: GIT:U/G:Ears/Skin:Eyes:M/S:Dental:Other: Assessment: Pruritus and intermittent GI upset - suspect dietary indiscretion but could be environmental factors Recommend we start with bloodwork including fpl. O agrees Treatment: Nil in clinic Plan: Recommence predAwait bloodwork results and contact O when back Consider hills z/d or RC anallergenic diet. Could also consider alternative novel protein diet Follow Up Call: Required: In (x) days.Improvement: Plan...No Improvement: Revisit...ORNot Required.    Vital Signs