C09984553 / invoice 10000

Appointment Notes: Quiet gone off his food, no D or V Hx:Off since potentially FridayNo known dietary indiscretionNo v/dAte small amnt food this morningPEx:QAR - sad for his usual bouncy personalityDiscomfort in cranial abdo, hunched appearanceVitals otherwise wnlsDx:Bloods show mod neutrophilia and mod monocytosis, fits with duration of dz, bloods otherwise unremarkableAbdo rads - large amnt ingesta passing through gut, some pockets of gas but appear to be in colon, no obvious FB presentDDx:Poss pancreatitis vs other GI/abdominal upset?Tx:Start hartmanns IVFT at 5mLs/kg/hrBuprenorphine 0.02mg/kg IV at 11am - a bit panty after, use lower dose next timePrevomax 2.2mLs SCMonitor responseTry at home tonight on buprenorphine 0.01mg/kg TMO q8-12hUPDATE - 03/03/2026 2:42:09 PM AH:Clinically very well, much brighter, ate this morning, pyrexia is resolved (T 38.0)APOCUS - unremarkable, no FAF,  evidence of intestinal obstruction, mild jejunal lymphadenomegaly consistent with juvenile age, liver/spleen/kidneys/pancreas unremarkable.     Vital Signs