C09984663 / invoice 10000

Appointment Notes: dia. kl  ------- hawk HISTORY:Ongoing diarrhoeaFirst stool of the day is usually normal, subsequent motions are sloppy or watery Antibiotic responsiveCURRENT DIET: Black Hawk Chicken/RicePREEXISTING CONDITIONS: DiarrhoeaCURRENT MEDICATION:  NonePE:T-38.8HR/CARDIAC-no murmur NSRRR/RESP-normal lung sound and resp effortMM-NCRT-NLNN-NABD-intestinal gas and fluid +++, no abd pain BCS-4/9OTOSCOPY/EARS: NsfORAL HEALTH: Nsf- permanent teeth eruptingEYES: NsfMSK: NsfINTEGUMENT: NsfUROGENITAL: CNS: Not routinely examinedPROBLEM LIST:Chronic diarrhoeaDDX: parasitic, infections, dietary intolRecommend faecal PCR testing  - financial constraints - owner has provided sample but will contact us later today regarding submitting this sampleRX: Recommence strict     Vital Signs    Weight: 19.6;