C09971676 / invoice 10000

Reason: RecheckHistory: Recheck - microvascular dysplasiaPresent = John Olds - 6292 5179No current owner concerns.Fasted this morning in preparation for bile acids testing. Examination: Weight=6.2kg. Body condition=5/9. T=38.0. HR=PR=100. RR=20. Abdomen within normal limits. Problem List: 1) Hx Chronic mild elevation ALT - first noted 12/8/2016 2) Hx Vomiting, haematochezia 18/11/20163) Microvascular Dysplasia - Dx Abnormal bile acids (post 186umol/L) 25/1/2017 - 6/2/2017 - CT scan = No vascular abnormalities or supportive evidence of a portosystemic shunt - Persistent abnormal bile acids - 13/2/2017 - Liver biopsy 28/2/2017 - Histopathology = Microvascular dysplasia4) Chronic mild ALP elevation - first noted 26/5/2021 - repeatable 18/1/20225) Hx Pancreatitis - acute vomiting, diarrhoea 30/3/2022 - Abnormal SNAP cPLiLaboratory: Free catch urine:USG >1.040, pH 7.0 - rest negative - non reactive sediment - no bacteriaAssessment: Panel pendingPlan: 1) Wellness panel to Vetnostics (Code GREYP)Current Medications: 1) Periactin 1/2tab PO sid PRN – regular vets2) Diet = 100g Hepatic canned (fat 4.0%); 50g GLF (fat 1.7%); 30g Veggies; 30g Kibble (fat 16.0%)3) Nutraceutials = noneOwner Communication: 1) Contact person = John Olds - 6292 5179    Vital Signs