C09976219 / invoice 10000

Reason: No Improvement, Thinking Euth, Wants To Talk To JrAppointment Notes: Overdue remindersAttendees: Trent and GeorgiaHistory:Ataxic in all 4 legs over nightDidnt eatIs drinking and able to urinateCan stand a little better this morningO had to stay up with him all nightEating drinking urinating defaecating normallyNo vomiting/retchingNo coughing, no exercise intolerance, no breathing difficultyNo lameness, stiffness or sorenessNo itching and scratchingBright Alert ResponsiveBody condition score 4Examination:Mucous membranes – pale pink moist crt <2sOral cavity – clear, no evidence of ulceration, tongue normal, hard palate fineTeeth – grade 1/2Nasal 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 92Lungs – clear sounds bilaterally, no crackles or wheeze, tracheal pinch negativeAbdomen – comfortable on palpation, bladder normal, no other masses palpatedLimbs – all good range of movement, no swelling or pain on palpationNeck and spine – no pain on palpationSkin – no sign of erythema, no alopecia,  Nails – fineAnal glands – AGACTemperature – normGenital region - no masses or swellingsDDx neuro event vs GVS vs neoplastic vs otherTreatment:Discussed ok to PTS but can do bloods to see if warrants treatment for longevitiyO happy to start with bloods Laboratory:CBC - Lym 0.88, PLT 11, MPV 16.9, PCT 0.02CHEM - SDMA 28, Urea 17.9, CA >4.00, ALT 520, ALKP 1388, GGT 12Smear performed - CBC tube did have a clot at the bottomColour - Pale yellow clearUSG - 1.018Sedistain - Cocci suspect presenceUltrasoundLiver homogenous no masses or changeGall bladder sediment not organised no mucocoeleSpleen no massesLymph nodes sublumbar LN ++++++++Cystocentesis sample takenDiagnosis:AGACPoss CVATreatment:Monitor today on IVFT to see if improves ini then look at PTSReason: Hospital CareIV Fluids: 20g catheter placed in L cephalic veinstart on hartmanns 2xm 52.2 ml/hPlan:Breathing elevatedNot distressedAdvised owners that no changeRecommend PTSNurse notes: KaraAdmit TPR Temp - AGAC will check if JR already did temp in consultHR 168 tachycardic considering demeanourRR 52 Pink tacky <2QAR>DullCollected blood from L jug inhouse TAHPPlaced 20g IVC LCV cx on hartmanns 2xm 52.2ml/hrSternal positioning with L lateral HL 10/02/2026 10:01:01 KAR: Client contact Trent - Adv O that bloods were ok not great his liver enzymes are q. Elevated - we have popped the ultrasound probe on him to check for any masses attached to his liver - there wasnt that we saw. JR would like to keep him here on IVFT and reassess this afternoon based off clinical presentation to either decide we continue with treatment or if it would be kind to say goodbye, will be incontact again this afternoon to adv which direction we are heading tonight - O understands and ok with plan1010 - Syringed 30mls recovery - tolerated well 1300 TPRHR 136RR 64 - Polypnea PT asleep Pink tacky <2Syringed 17ml recovery tolerated wellToilet walk - Carried outside and supportively held for PT to urinate +++,  PT can amulate standing for roughly 10-15 seconds then starts to collapse in HL , PT not walking outsideSternal positioning with R lateral HL10/02/2026 14:29:02 KAR: Client contact Trent -  Adv that PT hasnt made much or if any progress on IVFT, O assumed that this would be case - exp kindest thing for PT would be euthanasia - O agrees, O will come in @4pm to spend an hour with PT in a consult room (MS when finishes)1500 - PT panting +++++ Temp check 39.6 - Ulceration present under mass.Removed thick bedding 1546 - Temp check 38.9 Panting resolvedRRR 44Attendees:History:Treatment: IV Catheter placed R cephalic veinSedation Combo Doses:Zoletil 0.2ml/10kgACP 0.2ml/10kgGiven SC 5ml Lethabarb given to effectCrematorium used: Pets Eternal Private Group Cremation--- 11/02/2026 07:31:31 TB:Bereavement - Resolved - Sympathy card written TB    Vital Signs