DIARRHEA CASE HISTORY CHECKLIST


In order for us to narrow down the cause of diarrhea in your cat, please answer the
following questions as accurately as possible. If you are not certain about the answer
please indicate “approximately” or “not sure”.

Timing

•     
   Look at a calendar and try and determine the earliest date when you remember noticing
unusual stools from your cat
•        On the calendar note any other changes in the cat’s routine or household routine.

Frequency and nature of stools, feces, bowel movements

•      
  How frequently is the cat having bowel movements?
•        Are the stools semi-formed, unformed, or liquid?
•        What is the dominant color (yellow, brown, black, etc.)?
•        Is there any suggestion of blood (fresh=red or changed=tarry black)?
•        Is there mucus (like egg white) in the stool?
•        Is there undigested food?
•        How powerful is the smell?

Diet

•        What is the cat's normal diet?
•        Has the diet changed recently?
•        Does the cat have milk?
•        Do you feed your cat table scraps?
•        Has the cat stolen any food recently?
•        Does the cat hunt and eat its prey?
•        Does the cat take food from anywhere else (neighbor, etc.)?

General health

•        When was your cat last vaccinated? If at another clinic, do you have the records?
•        Are there any other signs of illness?
•        When did you first notice any other signs of illness?
•        Has there been any weight loss?
•        If so, over what period?
•        How is your cat’s appetite?
•        Have you seen any vomiting?

Animal Hospital of Fate
1001 North W.E.Crawford  (Highway 66 in Fate)
Rockwall, Texas 75087
972-722-0066
Rockwall, Texas 75087