C09976475 / invoice 30000

Reason: In- House UltrasoundAppointment Notes: Overdue remindersReason: Admitted for: ultrasoundConsent form completed? Y Estimate given? Y Fasted overnight?  Y Pre-anaesthetic blood tests?N Best Contact Number for Today? Other: nails if poss under sedation D+ over the weekend, has improved on prokolinAppropriately starved--- 02/03/2026 07:56:37 neBloods 23/1/26ALT 159^125ALKP 917^212Rest of chem 10 lytes wnl. Cbc wnlCholestatic liver ds - ddx extra hepatic eg RCHF, hepatic - biliary ds, mucocele, neoplastic etcGr 4/6 murmur, tpr wnl. Rr pant, normal lung sounds and effortMsk comfortable romHistory: pimobendan BIDLast week - v+ and d+ lethargic, Before that was more lethargic and not wanting to go for walks. A few months. Did loose Macy mid late nov so was unsure if change with. Better spirits today after pro kolinPast week, a little off food but improving with improving gi upsetLast v+ a few days ago a few days of v+Poos - hasnt seen any this am. Thinks firming up.Mobility - no limping. No stiffness from rest. Jumping.Coughing and sometimes after eating - 1 yr, maybe once, maybe getting worseGenerally tummy good.No further seizure episodes    Vital Signs    Weight: 15.3;       

sedation butorphanol 0.3mg/kg midazolam 0.2mg/kg IM. Iv cath placed. Alfax to effect3 view chest radsPulmonary vessels wnl on lateral projectionVHS 12Mild bronchial pattern caudodorsal lung fields on lateral projectionsAbdo u/sULTRASOUND:Liver: the boarders are enlarge and extend beyond the costochondral arch however the margins a shape (not rounded) and echogenicity remains normal. Hypoechoic to spleen.Gall Bladder: unremarkable.Spleen: unremarkable. Hyperechoic to liver.Right Adrenal Gland: unremarkable. 5.7mmLeft Adrenal Gland: unremarkable. 5.2mmPancreas: unremarkable. L limb 11mmStomach: unremarkable. Wall measures 3.9mmSmall Intestine: unremarkable. Jejunal wall measure 3.3mm. Duo 4.8mmLarge Intestine: unremarkable. 5.6cm length Right Kidney: unremarkable.Left Kidney: unremarkable.Urinary Bladder: unremarkable.Lymph nodes: unremarkable. L Iliac 3.4/ mesenteric 3.9mm. R int il 4.8Other: N/ACVC:Ao = 1.02 = wnl Interpretation:Assessment:  MMVD b1 likely, no overt signs of L or R CHF. Ongoing cough - likely bronchomalacia + cardiac enlargementObese - recheck t4May need tsh/free t4 pending level--- 02/03/2026 15:52:20 ne - t4 low normal - consent for tsh and free t4Diet - meat ball from fridge section.    Vital Signs    

Reason: Pro-KolinAppointment Notes: Overdue reminders--- 28/02/2026 10:05:11 NM:Spoke with owner following, last phone conversation, Pro-kolin 15ml dispense to last this weekend till in-house ultrasound to assist with the D+ . Owner has agreed to go ahead with in-house abd ultrasound first, booked in Monday 2/3. Owner mentioned she did not wish to go ahead with the work up estimate at this time. Will come in this afternoon to pick up the pro-kolin paste.--- 01/03/2026 08:43:16 LOC:Emailed u/s estimate (5/2/26)    Vital Signs