C09985412 / invoice 10000

Reason: DIARRHOEA w/ BLOODHistory:- Presented by male O- D+ on & off 1 week, today noted straining lots and small amount of frank blood- Off food this morning- No vomiting- No recent diet change or bones- O noted in recent months panting lots, especially after exercisePast Medical History:- Known sensitive gut + previous anal gland issues; recently had AGE done in Perth over X'mas- No medications- Diet: Advance wet food, cooked rice/beef/sardines- De-sexedExamination: BAR, nervous but well-behavedBCS 4.5/9MM pink & moistEENO clearDental 2.5/4; 204 fractured mid-crown with pulp exposureChest auscult - G2/6 heart murmur, panting, no stridor or abnormal breathing effortAbdo palp - flinching repeatedly on palpationLNs WNLT 38.6Assessment:1. Colitis, Hyporexia, Abdominal Pain; DDx: Dietary, Metabolic, IBD, etc.Discussed bland diet, probiotics & pain relief. INI may require diagnostic work-up.2. Moderate Periodontitis w/ Complicated Crown FractureRecommended dental w/ extraction of affected tooth.3. G2 Heart MurmurDiscussed referral for Echocardiogram - O keen; will consider for next trip to Perth.4. Panting; DDx: Stress, Heart Disease, Old AgeDiscussed Echocardiogram as above to r/o cardiac involvement.Treatment:- Maropitant 1mg/kg SC- Pro-Kolin 5mL PO BID 3d- Paracetamol 375mg PO BID PRN (O to source)- Bland diet (cooked chicken & rice) until appetite & stools normalisePlan: Re-check INI in 48h.    Vital Signs    Weight: 25;       

descale and polish done significant amount of plaque build up on theteeth cleanto the best of our ability no teeth needed to be extracted and polished afterwards.lumpectomy done from the left cheek on her face aswell good amrgins got and was fluid fuild resembling a cyst    Vital Signs    

Appointment Reason: Lump (s), Appointment Notes: lump check on right cheekMO 05.05.25  ------- Sms reply: Yhas what feels like a hydroceal on the side of her face. adv book in for removal    Vital Signs