C09974199 / invoice 20000

Reason: Recheck Bloods (Pvc)History: Quiet but fineOn Pred and chinese herbalEating improved a bitExamination: T=38.9HR 104=PR quite strongMm pinkRR 40 Abd palp nadOS sclera no further haemorrageHead mass enlargedPCV 40%, TSP 74g/dlTreatment: Continue prescribed medicationPlan:Await SASH reportSend results to Keller    Vital Signs    

Reason for Visit: Reason: Check OverHistory: mass on head present since December 2025 but recently growing. Booked in for Friday with Steph D for biopsy of lesion on head and lesion on flank.Laboratory: (19.2.26: Hct=0.36L/L,TP=71g/L,  PLT=45 (clumping noted), PT=17.8 secs, aPTT=48.1 secs)Her appetitie has been declining for a while but in the past few days she is not eating all nowNo vomitingSmall faecesMuch more lethargic, doesnt want to do much at all Examination: hr=pr=136, mmcol=pale, crt=< 2 sec, temp=38.8Very quiet in consultSoft mass palpable over dorsal cranium, oral cavity swelling over left maxilla buccal side as well as flank region (left side)Left scleral hyperaemiaVery quietLaboratory: PCV=0.18L/L, TP=55g/LAssessment: PCV and TP suggest whole blood loss. Offer work up and blood transfusion locally or referral to specialist hospital. Owner has elected to go to SASH Gold Coast today    Vital Signs    Weight: 7.6;