C09973222 / invoice 10000

Reason: Still Not Well After CV Visit Last Week <VM Appointment Notes: Overdue remindersHistory: Treated at Colllaroy vet this weekend with pancreatitis. Discharged on paracetamolNancy is still worried as he is panting after eating and seems unsettled, although he was improved this morning. Pre-existing IBD - on crocodile only dietSubjective: BAR Examination: HR 100, pink moist mm, crt 1-2 sec, FP normal, RR panting, temp 38.5BCS: 5/9Oral Cavity: Oral cavity is normal. CV: Heart sounds normal. No murmur or arrhythmia. FP strong and synchronous. Resp: Lungs sounds normal. No nasal discharge. No URT stertor. MK: Ambulating normally.Neuro: Mentation appropriate. Palpebral and menace reflex intact OU. LN: Peripheral LN normal size, shape and consistencyGIT: Intestines soft and comfortable. Urogenital: bladder small, kidneys symmetrical and normal in size and shape. Integument: Good hair covering, no ectoparasites detectedEars: Canals clean without evidence of infectionEyes: Appear normal OU Assessment: Appears clinically normalClient Communication: Advised Nancy that Oscar has a comfy abdomen on palpation. We discussed whether repeating the pancreatitc levels were helpful - we manage pancreatitis on clinical signs (appetite, pain) so not helpful for directing his treatment. Enzymes are non specific. We discussed the next step is an AUS if he is not improving. Dispensed cerenia if he is unsettled after eating.    Vital Signs