C09979752 / invoice 10000

Reason: LDDS TestAppointment Notes: JBHistory: Here today for LDDST Abdominal ultrasound was negative apart from the adrenals being on the high end of normal. With the bloods (Elevated ALP ), suspicious of pituitary dependent Cushings. Examination: StressedUnable to get temp P 132 Panting mm Pink CRT 2 secCollected bloodsGave Dexamethasone 0.01mg/kg (0.09ml Dex 2mg/ml) IVCollect bloods 4 hrCollect bloods 8 hrsLaboratory: LDDST (Send to idexx)Assessment: Suspect cushings. Await resultsTreatment: See aboveConsent has been given by the client to proceed with this treatment  -  YesPlan: To call with results    Vital Signs    Weight: 17.5;