C09990970 / invoice 10000

Reason: RecheckAppointment Notes: Special payment terms existHistory: Ziggy presents for DOCP injection for Addison's disease, chronic intermittent vomiting and diarrhoea, and sonographical monitoring of jejunal wall lesion (Ddx submucosal peyer’s patches), bladder stoneSee previous histories for details Vomited twice in the past 3 weeks, no diarrhoea, is eating wellKylie is satisfied with the current management of her chronic enteropathyZiggy has no UTI signsCurrent medications: 1. Cortate 25mg- 1/2 tablet PO PO SID (on stressful day, cortate 25mg PO SID). 2. Cobalazorb 1cap PO sid 3. DOCP 2.2mg/kg SC once every 22-23 days 4. Diet: Royal Canin Hypoallergenic tinned and kibbles Problem list: 1. Addisons disease 13/5/25 2. Microcardia on chest radiograph 8/5/25 3. Suspect intestinal mass on AUS 8/5/25 4. Bilateral adrenal glands are small 8/5/25 5. Diarrhoea 11/5/25 - resolved 6. Bladder stone 4/12/25 - iCa 1.31mmol/L; Urinalysis - pH 8.5; Protein + - others within normal limits; Urine C&S - No growth Examination: Neurological Mentation: BAR Gait: Ambulatory, no weakness or ataxia Cardiovascular HR: 80bpm MMs: Pink, moist CRT: 1.5s Pulses: Normal and synchronous Auscultation: No obvious murmurs Respiratory Rate: 20brpm Effort: Normal Pattern: Costoabdominal Auscultation: Normal bronchovescicular sounds, Abdominal palpation: Comfortable Imaging:Urinary tract focused AFAST - there is a single urolith 1.71mm in the urinary bladderAssessment: Ziggy received her DOCP injection todayNo chnage to the previous assessmentPlan: 1) Represent in 22-23 days for repeat DOCP injection Treatment: 1) Percoten 2.2mg/kg IM onceSee SmartFlow for full treatment records Current medications: 1. Cortate 25mg- 1/2 tablet PO PO SID (on stressful day, cortate 25mg PO SID). 2. Cobalazorb 1cap PO sid 3. DOCP 2.2mg/kg IM/SC once every 22-23 days 4. Diet: Royal Canin Hypoallergenic tinned and kibblesOther communication:1) 05/03/2026 15:15:17 ZY: Histories emailed to regular vet.    Vital Signs