C09971887 / invoice 10000

Reason: Recheck, Alt Blood TestExamine: BARHR=132 Grade4/6 murmur stage B1O reports that cough did not respond well to codeine but that coughing when it happens is usually once daily for 4-5 coughs, and not every dayDoes not feel it is a problem for CujoDiscussed stage B1 result again - really a good result for a 13 year old CKCS cross!Laboratory: Blood taken for AlkP repeat, was 262.Current value = 207 (0-140)Assessment: Still elevated but lower than before in a well dog - no concerns reallyCalled Helen to discuss she is happy to monitor    Vital Signs    Weight: 10.2;