C09973228 / invoice 10000

Reason: RecheckHistory: On-going management of presumed ileal muscularis hyperplasia- has been on 20mg pred / day + RC hypoallergenic- Michelle reports that she has seen an improvement- stools aren't normal, but they've improved. Formed but soft- Appetite has returned - is eating RC HA. Have eliminated all other foods- PU/PD + flatulence noted since starting predExamination:BARBCS 3/9Abdominal palpation comfortable; nadT 38.2Peripheral LNs normalAssessment: Appears to be responding to steroidsRec trialing a lower dose over next 2 weeks. Continue strict HA diet in interimeTreatment: 3/4 x 20mg prednisolone po sidPlan: Re-ultrasound on 20.03.26 with Dr Jen Judd- reasses muscularis layer thenMichelle to contact clinic if any concerns noted before this    Vital Signs    Weight: 12.1;