C09973096 / invoice 10000

Reason: Swollen TummyROBYN (mother of Myfanwy (Mackie)MEDICATIONS ARE:-cardisure 2.5mg bidStaying with Robyn since 21/2/25.  Friday went to the groomers and Meesha cut short what she was doing.  Apparently she was barking and anxious and apparently she is not usually like this.  Seemed better once in the car with with Aircon>>not sure if their is A/C in Meesha's grooming.Noticed more coughing, sounds maybe a bit congested perhaps when breathing.  Eating well.  No vomiting but does hacking cough perhaps 3 times during the nightAlso now is getting up and moving a lot during the night.Doesn't usually live with Robyn but she is familiar with the SOUNDS LIKE NOT currently doing SRR Examine: Bright and alert and seeking treatsColour pink but does get slightly purplish with too much handlingHR 140 with grade 4-5 murmurLots of panting>>cannot hear any crackles but hard to assess chest due to the pantingTemp 38.9Abdomen>large and softish>suspect organomegaly or fluidA-FAST:  no abdominal fluid, did not do full abdominal ultrasound T-TAST:  A-lines present, no obvious B-linesAssessment: Dx is open>cannot demonstrate pulmonary fluid but owner feels gradual decline in breathing Organomegaly Treatment:  took bloods for GribbesUrineStart frudix 2mg/kg bid USG:  1.042, protein 2+, pH 7.5, blood neg, ketones neg, bili neg, glucose neg,Did not spindown Plan:  NR to call owner on Tuesday    Vital Signs    Weight: 10;