C09972931 / invoice 10000

Reason: Lethargic, Off Food*Presented and seen by Dr Angel i at 1515 on 01/03/2026History:Narla presented for lethargy and inappetenceNot interested in food in the past couple of daysNo vomiting or diarrhoeaReceived iinfusion on 23/2 - fine afterwardsCurrent medication: Ursofalk, denamarin and cyclosporin Conditions managed by med:1. Hepatitis/immune-mediated liver disorder (diagnosed via liver biopsy); neutrophilic; lymphocytic; histiocytic however with variable fibrosis and copper accumulation which was judged secondary to inflammation; query also vascular hepatopathy > intolerance to mycophenolate noticed2. History of incontinence (previously managed with stilboestrol).3. Bilateral elbow dysplasia and left elbow surgery (subtotal medial coronoidectomy) was performed in 20214. Bilateral CCL and left TPLO was performed in 2024 (right TPLO pending)Examination Findings:General demeanour: QARTemperature: 38.1Cardiovascular: no arrhythmia or murmur Respiratory: normal respiratory effort, clear lung soundsAbdomen: no abdominal pain palpable, lip smacking in consultation Eyes/Ears: pupils equal and normal size, appropriate responseIntegument: healthy skin and coatMusculoskeletal: ambulatory x4, no lameness notedNeurological: normal mentationRectal exam: not performedBody Condition Score: 5/9Assessment:Hyporexia, lethargyTreatment:Ondansetron 16mg TM q12h Plan:Left message on med clipboard to call O tomorrow to discuss plan    Vital Signs    Weight: 34.9;       MMColour: pink;       Temperature: 38.1;       HeartRate: 130;       RespirationRate: panting;       CRT: <2s;