C09973061 / invoice 10000

Reason: Smelly Faeces + Not Himself. Mt Appointment Notes: Special payment terms exist, Overdue remindersHistory: Last night Sharon's daughter noted that tiger was breathing fast when laying down, unsettled.Eating some indoor plants and had a V+.Was trying to groom but having trouble wth this.Also passed some smelly D+.Has had a bit to eat this morning.No further V+ known.Toilet this morning unknown.No current conditions, but is concerned cat ' tryng to tell her something' the last few days.No current meds.Drinking seems normal.Appetite up and down- eat less one day, eat lots another day.UTD nexgard spectra- due today.Examination: BAR, lean cond- has lost wt since last visit.Ears normalEyes normalIntegument- small matts of fur along her sides, otherwise normalOral- pink mm, no mucosal lesions, mild calculus.Lnn normalChest ausc- very fast HR, grade 3-4 murmur audible bilaterally louder on right.Clear chest aus, rapid shallow breathing, very stressed in consult.Abdo palp nsf.No thyroid flick detected.Msk- wt loss.Normothermic.Laboratory: Assessment: Poss hyperT?- would explain heart, behaviour, wt loss, fur etc.Vs primary heart conditionTreatment: N/a for todayConsent has been given by the client to proceed with this treatment  -  Yes/No Plan:Await blood tests for further plan.Consider cardiology referral.    Vital Signs    Weight: 3.7;       HeartRate: >>200;       Temperature: 39.1;