C09976576 / invoice 10000

Reason: ReVISIT AR Appointment Notes: Overdue remindersHistory: Still vomited with chicken goneSettled a little with sweet potato and pumpkin (given for her anal glands)Savour life senstive diet (fish based)- stopped this and gave her something else and she settledThen changed to Black Hawk Chicken - doing well except when added a little chicken on top (small volume)No vomit since then.She is trying to eat a lot of grass, if she succeeds she vomits.Her stools have been great.She seems happy and not distressedWhen she does vomit it is usually 30-60 minutes after foodShe happily eats and then has been doing nothing or active and vomit- sometimes sleepingThere is a definite effort and excessive salivation post, she would happily eat again right then.The last time she vomited was after breakfast (small meal), normally she has 2-3 but this was smaller.Examination Subjective:  BARH, BCS /9, LBM /4Examination Objective: Summary of abnormal findings: EENT ears clean, eyes clear, dental disease /3 CV/RESP eupneic, SSP, normal auscultation MS/I amb x4, normal gait, healthy coat and skin NEURO normal mentation and gait, full neurological not warranted PLN all WNL GI/ GU soft, nonpainful, externally normalAssessment / Diagnosis: Plan:    Vital Signs