C09972665 / invoice 10000

Reason: Recheck Bandage / LumpHistory: On-going management of OAThyroid neoplasm dx'd last week on cytologyAcute onset SI diarrhea over last 5dMatt & Mel report Tom has continued to decline over weekend since saw AW- increased renal parameters + amylase noted on bloods at this time- has become inappetent- so unable to medicate at this stage- continued D+; mostly liquid- more lethargic- would not get out of bedExamination: BCS 2/9QARHR ~80P, mildly tacky. CRT 2sHindlimb ataxia at walk; crossing legs inwards. Significant difficulty ambulating, particularly getting up/getting downTail wound has healed wellAssessment: Concerns for on-going QOL in Tom- many progressive disease processing worsening, and significant deterioration noted in the last monthDiscussed euthanasia- strongly recommend within the next weekHistory:Examination:Mentation:HR/PR: Temp: MM: CRT:Pulse: C/V: Resp:  Hydration: GIT: U/G: Skin/ears: M/S:Eyes: Dental: AGs:Assessment:Treatment:Plan:Vet checked bill: <initial>Nurse checked bill: <initial>    Vital Signs    Weight: 26.0;