C09991066 / invoice 10000

Reason: Ultrasound: Recheck CholedocolithsAppointment Notes: Overdue remindersMedicine revisit summaryPrevious diagnosis:- Acute on chronic vomiting - Acute on chronic diarrhoea with a large intestinal component - Borborygmi, gagging, burping - Abdominal pain - Choledocoliths - Historic increases in amylase/lipase and CPL concern for chronic pancreatitis Current medications:- Losec 10mg AM - Carafate finished - Ursodiol 1 capsule once per day (BOVA) - Ondansetron 4mg q 8 hour Recent history:Appetite is good - now 3/4 of the purina HA with 1/4 of the Royal canin Had some productive regurgitation (white foam, some bile) last week No active vomiting Stools are more formed but soft, grade 3 for the last couple of days Stretching in the morning, but otherwise no prayer position Really happy in herself Physical examination:Demeanour - Bright and alertVital signs - MM pink, CRT<2s, HR  bpm, RR  bpm, T  CCardiovascular - Cardiac auscultation normal, pulses strong and synchronousRespiratory - Effort normal, bronchovesicular sounds audible all quadrantsAbdomen - No abnormalities on palpationHead / neck - No abnormalities identifiedMusculoskeletal - Normal gait, no pain identifiedIntegumentary - No abnormalities identifiedGenitourinary - No abnormalities identifiedLymph nodes - Peripheral lymphadenopathy not detectedBCS  /9. Body weight  kg.Assessment:Treatment:Plan:Client communication:Vet communication:    Vital Signs    Weight: 6.9;