C09981348 / invoice 10000

In clinicGoing well occ blood, diarrhoea if scrounges soemthing but settles within 24 oursOcc gurgling stomachOthewrise goodDiscuss rv of bladder stones etcLIana thinks his teeth need cleaningBest to rv and loook at urine smpale, RRR etcThen schedule bladder US +/- dental

bloody mucus D+ yesterday and was abit quiettoday somewhat normal poo with a blood tinge and seems back to normalgave pro kolin on RC anallgenic dry - doesnt like it (mixes in w/ wet)RC hypo wetanything else can give or is prokolin enoughIC -ES comments*no known indiscretionother than something scrounged 2-3 days prior*some stress inthe house*quick recovery- Liana will monitor over this week that he completely settles* if waxing and waning, losing weigh tetc then review, check out bladder stones etc*prokolin when diarrheoa is a good move. LIana likely to get synbiotic or the enterogenic supplement for otehr times

Eating wellStools formed and good, does 4 a day with the last one softer but pickupableNo vomitingNo blood or mucousOn Anallergenic only, may add hypo tin, crocoile snack, carrotMonitor closelyCough heard as clearin gof the throat 1, maybe 2 times in the morning, and then only if racing around, excitedSo low gradePanting alittle on walksNo urination issuesThirst <600-700ml/day for both dogsBCS 5/9Two skin masses notedRHS midline flank high 2mm dermal pinkRHS neck 3 mm dermal pinkPink moist mmChest ausc hear tmurmur as beforeRRR 26No indicible cough,lung clearAbdo palp relaxed, deep palpLimbs wnlA:GI disease currently controlled by diet aloneWeight stableChronic cough, low grade, stableHeart murmur- stableLumps x 2- monitor as sebaceous adenoma/hyperplasiaBladde rstones incidental findingP:Continue current diet and monitor for stability over 3 monthsReview with bladder US in 4-6 weeks, if stones present sitll to likely rec removalMoniotr cough, monitor RRRrv 4-6 weeksif acute pain or urination issues to rv asap