C09990641 / invoice 10000

Reason: Leg That Had Patella SX Is Now Pointing Outwards WAppointment Notes: O called 28/2 stating bingos leg is pointing outwards when walking. Asked DLO said to book in with vet who did surgery unless seems to be in pain come in earlier for pain relief. Earliest appt was on 4/3. O seems worried about the leg. Have added her to cancellation list.History:  Doing well, walking 8/10ths on RH, stifle feels good, pins feel OK. Walking fine. Some mil mm wastage RH and walking with paw mildly abducted but suspect this is just because the limb is still mildly painful. Discuss problem to monitor for with owner. Recc increasing lead exercise and r/c if not 100% at 8 weeks.    Vital Signs    Weight: 12.6;       

--- 19/02/2026 17:12:02 MC:Ortho xrays emailed to O    Vital Signs    Weight: 12.6;       

Reason: Off Food, Not Himself, Yellow V+ This AmAppointment Notes: Overdue reminders1/4 to 1 /3 ormal intake+One week lethargy and progressive reduced appetite.V in mouth yesterdayV a few days agoToday yellow vomYellow UHand full kibbleVery yellow vomit and urine today3 weeks post R patellar surgeryPE: Query abdominal mass effect - soft feels intestinal - intussusception? Vs other ( normal faeces, mobile kidney) Reactive cervical muscle palpation/ prescap LN palpation. Cervical normal ROM. Discomfort R biceps tendon region.RPL weight bearing. NO outward signs of inflammation. AssessmentAFAST;0/4 Free abdominal fluidi score. No obvious sites of infammationStomach moderately full. Fluid in descending duodenum - could not be followed due to acoustic shadowing. May be normal for having had some kibble this morning. No visible intussusception Acoustic shadowing challenging intestinal evaluation. --- 19/02/2026 11:41:58 DLO:Called O recommended radiographs after equivocal results on untrasound. Advised 575 additional. Client ok'dRAdiographs - VD, L and R lateral views - large intestinal content moderate stomach content. Gas in colon as well, and a few bubbles. General intestinal diameter wnl. No obvious plication. No obstructive pattern. Normal serosal detail. No free abdominal gas. Health profile - no significant abnormalities identified. --- 19/02/2026 16:52:17 DLO:Repeat pocus after defecation - Intestine with fluid and a seperate segment iwth acoustic shadowing that appears to be distal colon.Otherwise nsf 2 population bowel but could not be followed to a unifying FB/acoustic shadow.  Assessment - no conclusive obstructive pattern PLAN: home on bland diet. Monitor for diarrhea or further vomitingMaropitant 1mg/kg SQ was given on admission. Call in the morning with an update. Continue bland diet if going well. Reexam and likely admit if ongoing vomiting or diarrhea. 5pm - eating chicken.  5.35pm - temp 38.2 hr 120, mm, pink crt <2    Vital Signs    Temperature: 38.7;       HeartRate: 124;