Veterinary Science · Referral letter · Task 1

Dog with persistent regurgitation

You are a veterinary surgeon. The case notes below record your work on 4 September 2026. Write to Dr Julia Hart, Veterinary Internal Medicine Specialist, Veterinary Internal Medicine Centre, 48 River Lane, Brookfield. Request veterinary internal medicine assessment using the recorded history and findings. Select the information this recipient needs and write approximately 180-200 words in the body.

Patient: Milo, a six-year-old Labrador; owner Ms Anna Cole

Case notes

• N01Date: 4 September 2026. Animal patient/owner: Milo, a six-year-old Labrador; owner Ms Anna Cole.
• N02Patient: Milo, Labrador, 6 years; owner Ms Anna Cole.
• N03History: persistent passive food return shortly after eating, no abdominal effort per owner; now most days.
• N04Weight loss 2 kg over 6 weeks; appetite remains good.
• N05Today: comfortable at rest. Examination/initial blood results enclosed; cause not established.
• N06Previous measures documented in enclosed history; symptoms persist.
• N07Qualification: no definitive oesophageal diagnosis; owner description requires assessment.
• N08Owner can bring episode video/feeding record; transport available.
• N09Consent: consultation agreed; estimate/discussion before further procedures; referral not blanket consent.
• N10Plan: Dr Julia Hart, Veterinary Internal Medicine Specialist; investigate cause; interim management and inter-practice/owner communication plan.
• N11Background: practice patient since puppyhood; lives with one other dog.