C09989817 / invoice 10000

Reason: Abdo U/SAppointment Notes: * O called for a later admit time RBHistory: Here for abdo ultrasound to investigate ALT elevation EDDU normally , no PU/PD noted No vomitting or diarrhoeaEnergy levels WNLNo concernsExamination: CV: NMA, NSA, SSFP, mm pink, CRT<2secResp: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal discharge, NADInteg: coat is clean with no sign of parasites, NADEENT: clear, no abnormal discharge or inflammation, NADPLNs: submandib, prescap and popliteal palpated WNLAbdo: soft and comfortable, WNLMusculosk: ambulating normally, no palpable neck, spine, limb or joint pain, normal ROM in all 4 limbsNeuro: neurologically NSFU/G: NADLaboratory: lUltrasound : Ultrasound indicated no abnormalities  ; liver appears structurally soundAssessment: Increase ALT likely reactive (could accept reactive up to 3x)Treatment: Medetomidine 0.03ml / Methadone 0.07ml IM - adequate sedation for IVC placement Alfaxan titrated for effect for abdo ultrasound Consent has been given by the client to proceed with this treatment  -  YesPlan:Recommend recheck liver enzymes in 6 months , if persistently increased can consider BAST and recommend U/A to check for urate for PPS    Vital Signs    Weight: 2.3;