C09985496 / invoice 10000

Reason: Bloods And Urine - No Consult Needed24hr water intake - ~1000mL = ~70ml/kg/24hr  (normal >90-100ml/kg/24hr)Plan: KW to f/u bloods/urine    Vital Signs    Weight: 14.47;       

Reason: LDDSTAssessment: Excludes HACOptions:A) 24 hour water intake to assess true levels B) repeat full bloods to inc renal values +/or recheck urine for USG and r/o infection (drinking did initially improve with tx and at the time of the previous urine sample)C) repeat abdominal imaging - referral should be considered --- 03/03/2026 13:03:49 KAW:Relayed results and discussed options as above Energy slightly down mild upset tummy at the moment Again advised may need to consider repeat imaging vs referral in case something has developed Plan: Measure water intake for a few days to get an averageOwner bringing him in tomorrow for bloods and urine (TAHP and in house urine please) - no consult charge KW will report on thursday Pending results consider referral Laboratory: DEXAMETHASONE SUPPRESSION TEST   TIME (Hours)      CORTISOL (nmol/L)   0                     100  (30-100)   4                    < 14   8                    < 14*                              VETNOSTICS COMMENT   The LDDST pattern is not suggestive of hyperadrenocorticism.    Vital Signs    

Reason: Admit LDDST- Running Late ETA 8:30am. Andrea VetcxHistory: BIB Matt. Bowie has been ok - energy levels alright but perhaps a little more reluctant to go out for exercise. Has been panting more and drinking more.  No drastic change in urine output. Normal appetite - do often need to tempt him to eat at dinner. No vomiting/diarrhoea. No coughing/sneezing. Objective: Quiet, alert and responsive. Weight loss of 60 grams. Eyes/ears/nose: NAD;. Mouth: grade 0.5 dental disease. Integument: NAD. Thoracic auscultation NAD. Abdominal palpation NAD. Peripheral lymph nodes NAD. Laboratory: An LDDST was performed:0hr bloods collected @ 9.03am dexamethasone 0.01mg/kg (0.08ml) IV administered4hr bloods collected @ 8hr bloods collected @Plan: Tent D/c 5.40pm - owners can pick up sooner if ready. Belongings: collar, leash & own treats as food allergy - dried kangaroo flank. Primary point of contact today is Carly (0400 322 053).Owner Called / Discharge Time: --- 26/02/2026 17:08:34 AJM: Mr O called for update- all done with VP and confirmed HV 5:40p.    Vital Signs    Weight: 14.6;       MMColour: pink;       HeartRate: 100;       CRT: < 2 sec;