C09971523 / invoice 20000

Reason: R/v & Rt Blood JENREASON;P.E.: FAS score 0-5 :describe 4/5  Here with Byanca- BAR-Appetite variable- sameBAR when out and about but Byanca can tell not 100%- more quiet Here BAR not sedatedSEDATION with Byanca holding Medetomidine 0.02mg/kg (0.5ml) + Butorphanol 0.3mg/kg (0.8ml) IM - some wriggling Mild sedation 30mins later!IVC & top up with another 0.01mg/kg=0.27ml IV @ 9:15amMod deep sedation- adequate for abdo u/s Ultrasound: Verbal summary- liver enlarged with irreg margins- no distinct mass lesion Some free fluidCOMPLETE REPORT TO GO HERE LABORATORY: Idexx Chem15, CRP & procyteEosinphilia & monocytosisHepatopathy stable (alt, alp, GGT same)Bilirubineamia resolved  ASSESSMENT: chronic hepathopathy- most likely infectious (bacterial but can r/o other less common- fingal, protozoal)Treatment:  antipamazole 0.5ml IM @ 10:15am Plan:   * b/s a/b amoxyclav 25mg/kg BID- 2 wk min* Ursofalk* rt bloods 2 wks & plan for rt u/s with biopsy if no improvt    Vital Signs    Weight: 29.3;       

--- 27/01/2026 13:34:23 LF:O rang for more fluoxetine tablest requested 2 boxes this time, had some instock on shelf, in med to check--- 27/01/2026 19:00:01 EMF:CURRENT MEDS ( Sept 2024 JW);* Fluoxetine 20mg - 2 TABLETS SID-  (o may want script for these - 4 boxes with 2 rts - 2 tabs SID)* Clonidine (catapres) 100mcg  = 3 tabs given 60 minutes before expected trigger  bf vet visits (lesser dose for less intense events)Meds checked, text sent, @ reception.--- 28/01/2026 08:08:05 NES:Collected    Vital Signs