C10032590 / invoice 10000

Reason: Flat, Vomiting Gone Down Hill This Evening - JCConsult Time: 0245History: Presented for two episodes of bilious vomiting yesterday (12/03/2026). Owner reports lethargy and reduced activity in the evening. Anorexic, refusing dinner. Has not defecated today - but unsure if has diarrhoea as there has been some soft stools around the yard. Went to the dog park in the afternoon but was reluctant to go on the walk. Two weeks prior, presented to regular veterinarian after ingesting a raw bone and vomiting; was diagnosed with dehydration and hospitalised, with no intestinal obstruction found. Reports possible diarrhoea recently but reduced faecal output over the last 24 hours. No known toxin or poison exposure.Normal diet: Kibble and wet food. No recent changes.Tick prevention: UTDUp to date with worming and vaccination: Yes.Examination:Demeanour: QARVitals: HR=PR= 120 bpm, mm pink, CRT <2 sec, RR 28 bpm, Temp 39.1°CCVS: NAD on auscultation. No murmurs or arrhythmias noted. Pulses normal.Resp: NAD on auscultation. Normal bronchovesicular sounds. Normal respiratory effort and character at rest.Abdo: Soft, non-painful on palpation. Gut sounds 1+Rectal: mucus and mucoid blood, otherwise empty MSK: Normal gait.EENO: NADL/N: Peripheral lymph nodes WNLIntegument: NADNeuro: No cranial or peripheral neurological deficits noted.Hydration: estimate <5% dehydrated. Skin turgor normal, mucous membranes moist.Nausea: None seen.Assessment:1. Vomiting 2. Suspect diarrhoea  (ddx GI causes (gastroenteritis, dietary indiscretion, gastritis, fb ingestion) vs non-GI causes (pancreatitis, endocrine, metabolic disorders)A: suspect colitis though cannot rule out other ddx without further diagnostics. Would recommend bloods and imaging as next best step. Treatment:1. Maropitant 1mg/kg SC 2. Pro-kolin 3ml PO q12 Plan:Monitor for further vomiting, diarrhoea, or any clinical deterioration.If vomiting persists despite anti-nausea injection or if condition worsens, re-presentation is strongly recommended.If no improvement, follow up with regular veterinarian tomorrow for potential further diagnostics such as blood tests and abdominal ultrasound.Client Communication:Discussed Mabel's clinical signs and examination findings with the owner. Explained the assessment of suspected gastroenteritis. Outlined two management options: outpatient treatment with anti-nausea medication and probiotics, or hospitalisation for intravenous fluid therapy, blood tests, and monitoring. The owner elected for outpatient treatment. Advised that the anti-nausea injection should last 24 hours. Instructed the owner to re-present immediately if vomiting continues or if Mabel's condition deteriorates. Emphasised the importance of contacting their regular veterinarian first thing in the morning to schedule a potential appointment, as it is a Friday. A rough cost estimate for hospitalisation and ultrasound with us was provided at the owner's request.    Vital Signs    Weight: 13.1;       HeartRate: 120;       RespirationRate: 28;       Temperature: 39.1;       CRT: <2;       MMColour: pink;       

Reason: Eaten A Lot Of Things No Supposed ToAppointment Notes: Poss rat bait - 10:30pm last nightConsult Time: 1955History: Mabel presented for possibly nibbling off the side of some rat bait yesterday - unsure of brand or active ingredient. Otherwise EDDU normally, bright with no vomiting or diarrhoea. Examination: Demeanour: BAR!!!Vitals: HR=PR= 180 , mm pink, CRT <2 sec, RR 32CVS: NAD on auscultation. No murmurs or arrhythmias noted. Pulses normal. Resp: NAD on auscultation. Normal bronchovesicular sounds. Normal respiratory effort and character at rest.Abdo: comfortable on palpation. MSK: normal gait. EENO: NADL/N: peripheral lymph nodes WNLIntegument: NADNeuro: No cranial or peripheral neurological deficits noted.Hydration: No clinical evidence of dehydrationNausea: None seen. Eating very well in consult Assessment: 1. Rat bait ingestion 24 hours ago - too late to induce emesis A: offered the following options: 1) commence antidote vitamin K1 for 28 days 2) consider clotting tests tomorrow (48h mark from ingestion) - if clotting normal, unlikely to be clinically. If abnormal, would recommend starting vitamin K1.O elects for option 2. Plan: Gabapentin dispensed for sedation prior to vet visit for clotting tests to be performed tmr (PT, APTT). Treatment: Consent has been given by the client to proceed with this treatment  -  Yes1. Gabapentin 100mg 2 hours prior to a vet visit--- 08/05/2025 06:41:49 AM GGV:Treatment - 07/05/2025 14:39:37 PM BTK Deferred: Follow up text sent. BAResolved -    Vital Signs