C09990079 / invoice 10000

History: UTI dx'd, treated with 5d clavOlivia reports that zeb has still been very distressed, unsettled at night. Some response to traz but still stugglingExamination: BARHR 3-4/6 l sided systolic murmurAbdoinal palpation- possible pain response mid-caudal abdomen, repeatableP,m crt <2sAssessment: UA- crystals noted on wet prep, dry prep- no bacterial noted-neg blood on dipstickDiscussed possible CCi - Olivia and Jesse keen to trial selegilline as discussed by AW last week. Will require script Treatment: Commence 5mg selegilline po in the AM- discussed side effects of excitation, and lag period between startingPlan: Re-assess in 30d re: selegilline- can double dose if required, or discontinue if SE too severe    Vital Signs    Weight: 12.15;