C09974798 / invoice 10000

Reason: Seems To Be Retching/nausia - Clear Liquid Not BilAppointment Notes: Arthritis in back legs    kabHistory:Clinical signs/progression:Sig hx: Current meds: Appetite & diet: Prev Care UTD/products?: Objective:Vital signs recorded to LEFT columnTemperament: Ophtho: Otic: Oral: Nose: CV, pulses: Resp/Chest:  U/G: Abdo palp: Neuro: Musculoskel: Integ: Hydration: Other findings: Problem list: Assessment: Plan: Treatment: Progress notes: Client Comms: +/- Prognosis, tx declinations+/- record conditions/meds in ALLERGIES tabDelete prompts as necessaryFirst Clinical Signs: a day agoSummary:dry retching and clear liquid vomit. It has happened few times over pasts 2 weeks, this time looking worse. Otherwise normal. Did bloods to rule out underlying causeDx: tracheobhroncitits, or could be kidney diseaseTx:doxycyline oral tablets    Vital Signs    MMColour: pink;       Temperature: 39.5;       Weight: 34.88;       HeartRate: 110;       BodyScore: 5;       DentalGrade: 2-3;       RespirationRate: panting;       CRT: 1sec;