C09971312 / invoice 10000

Reason: Check Lump Removal Site + VetmedinAppointment Notes: Overdue remindersHistory:Has been wellRRR - around 16bpm and keen on walks etc stillLast echo was may 25 and advised recheck 6 months so will book in to do this Needs more vetmedin (has 2.5mg Bid) so will make up 5mg tabs and do 1/2 tab bidExamination:Behavior: BAR in consult Eyes: NAD Ears: NADSkin: NADMouth/nose: NADCardiovascular: heart rate and rhythm normal. G5/6 murmur. Pulses strong and synchronous.Respiratory: rate and effort normal. Lung sounds normal. Abdomen: soft and comfortableMusculoskeletal: ambulatory normallyUrogenital: NADLymph nodes: NADRectal: Assessment:MurmurTreatment:Dispensed more vetmedin and also script for remaining 6 months supplyPlan:To book echo and will likely plan to vacc on same day    Vital Signs    Weight: 11.3;       MMColour: pink,moist;       HeartRate: 132;       BodyScore: 4/9;       DentalGrade: 0;       CRT: <2;