C09984137 / invoice 10000

Reason: Lethargic, In Pain?Appointment Notes: Special payment terms existHistory:Eating & defecating normally. Drinks a lot, unsure if he is drinking more than usual. Urinating for a long period of time when he urinates. No pollakiuria, no stranguria, no haeaturia. Took to Curl Curl dog park yesterday & zoomies in the house last night. Moving comfortably. Couldn't get up onto bed this morning.Cried when touched on his hip this morning. Needy in the last few hrs. Needed to be picked up in and out of the car. No interest in walk this morning. Didnt offer breakfast this morning.USG: 24/02/25 - USG 1.00525/02/25 - USG 1.010, bloods wnls. Physical exam:HR 88, no HM or arrhythmiasRR 36, normal lung soundsMM: pink & moist. CRT <2. Lns: wnls. Abdo soft and comfortable. Repeatable marked pain on lumbar spine. Repatable reaction on L & R hip extension.Marked weight loss in the last 5 months, 31kgs Oct 2025 -> 28kgs March 2026.Assessment: Back painPUPD ddx - hyperA, hypoA, DI, pheo, e.ColiGI leiomyosarcoma, AKI/ early renal dzPsycogenic    Vital Signs    Weight: 27.9;