C09982423 / invoice 10000

Reason: Hx sent to RVHZ    Vital Signs    

Reason: Breathing IssuesAppointment Notes: aware of fee. aprilHistory: Presents for heavy panting this evening. Fell after swimming a week ago with legs splayed. Today went to rDVM who noticed discomfort in right inner thigh. Meloxicam dispensed. 30 minutes post administration, owners noticed heavy panting and were concerned. Otherwise has been well- eating same amount, no vomiting, no diarrhoea, no coughing or sneezing. ONE patient for brain tumour- undergoing radiation therapyExamine: BARMM pink moist CRT<2sHR 130Heart no murmur or arrhythmiaPantingRE normal. No abdominal effort notedNo increase in lung sounds notedAbdomen soft and comfortableNo pain on joint and spinal palpationCN exam normalRest of neuro exam normalAssessment: Distress- possibly due to pain vs GI discomfort from meloxicamClient Discussions: Offered further work up including radiographs and bloods. DeclinedDeclined buprenorphine as well. Prefer to monitor at home    Vital Signs    

Reason: Breathing IssuesAppointment Notes: aware of fee. april-----------------------------TRIAGE NURSE:History:Client Discussions:    Vital Signs    Weight: .01;