C09978985 / invoice 20000

Reason: RecheckRadiology: ultrasound thickemned small intestines, suspect irritable bowel diseasePlan: adv start Royal Canin Anallergenic food    Vital Signs    

Reason: Spinal X Rays Appointment Notes: Special payment terms existObjective: painful abdomen, back?also small hotspot in l axialleObjective: abdominal discomfort, spinal pain v/s abd discomfortPlan: adv X rays/bloodsRadiology: no obstructive pattern, no calcified intervertebral discsLaboratory: decreased alb, adv u/s    Vital Signs    Temperature: 38.6;       

Reason: VaccinationAppointment Notes: Special payment terms existHistory:BAR, EDDU, no V or D Objective:Cardiovascular: no detectable murmurs or arrhythmias, MM pink, CRT<2secRespiratory: clear bronochovesicular sounds, no increase in respiratory effort observedGastrointestinal: No palpable abnormalitiesIntegument: Full healthy coatOcular: no discharge or irritation identifiedOtic: Clean, non odorous earsHydration status: Not detectably dehydratedDentition:gr 1Treatment:C5 Vaccination    Vital Signs    Weight: 6;