C09976213 / invoice 10000

Reason: Recheck CoughAppointment Notes: cpAttendees: female and male oHistory:Very hungry on medsCough has almost completely settled- very sporadic cases when drinkingSeems bright and energeticNo vomiting/retchingNo coughing, no exercise intolerance, no breathing difficultyNo lameness, stiffness or sorenessNo itching and scratchingBright Alert ResponsiveBody condition score 5Examination:Mucous membranes – pink moist crt <2sOral cavity – clear, no evidence of ulceration, tongue normal, hard palate fineTeeth – grade 2-3Nasal planum – normal pigmentation and architecture, no crusting, no dischargeEyes – eyelid conformation normal, PLR normal, no chemosis,  no dischargeEars – no discharge, no erythema, pinna fineLymph nodes - normalHeart – normal regular rhythm no pulse deficits, no murmur HR wnlLungs – slightly harsh lung sounds spo2 98%Abdomen – comfortable on palpation, bladder normal, no masses palpatedLimbs – all good range of movement, no swelling or pain on palpation- L leg crepitis in stifleNeck and spine – no pain on palpationSkin – no sign of erythema, no alopecia,  Nails – fineAnal glands – not scootingTemperature – H normal= stressed in clinicGenital region - no masses or swellingsAssessment:Improving coughDdx underlying mass and bronchial changes- discussed plan with owner- still going palliatively (no CT etc), discussed new lyphoma blood screen is available- o declined for now- Consider repeat xray when o back from holiday and see if any improvement on xrays- o would consider this. Trial at lower pred dose to reduce potential SE- if coughing worse will need to increase againTreatment:Nil in consPlan: FUC 1 week    Vital Signs    MMColour: Pink;       RespirationRate: 44;       HeartRate: 140;       Temperature: 39;       BodyScore: 5;       DentalGrade: 2;       PainScore: 0;       CRT: < 1 sec;