C09991417 / invoice 10000

Reason: B+B Transfer Ahds Vs FbAppointment Notes: Overdue remindersMH 6 - 1pm History: Overnight drinking but did regurg after a big drinkNo regurg after small sipsLiver lobe with mixed echogenicitySpleen large Diarrhoea decreasingExamination Findings: Has eaten some chickenAbdo 1/4 pain or less No vomit or regurges and butt smudges only A bit anxious Assessment: Improving in GI symptoms Liver finding possibly incidental Treatment: Trazadone 200mg 8 am Client Communication: O has work this am and would find it easier to keep Frankie here today She is doing better as far as GI symptoms Discussed liver finding and offered specialist ultrasound - o will follow up later (not in here) Plan: Change to oral meds If continuing to improve home this afternoon Recheck liver with RV or specialist through RV    Vital Signs    

Appointment Notes: Special payment terms exist--- 05/03/2026 13:56:41 K1W: KS STO advised ok to go home.  No defecation today, urinary incontinence which the owner reports is normal for her - advised may be worse after fluids.  TGH on medications and bland diet - Owner to collect at 4:40pmReason: Hospital Day:ICU DAYTIME SOAP day shiftCase Summary:Examination: Subjective: Objective: Temperature: CVS: Respiratory: Abdomen: Genito-Urinary: M/Skeletal:Neurological: Eyes/Ears: Integument: LN's:  BWT: Nutrition: Fluid therapy: Laboratory: Other: Assessment: Plan: Client Communication: Update 1 (start of shift)- Vet Name:- Client Name:- Time:- Medical update:- Financial update: (check estimates, do per 12 hr estimates or any additional tests/procedures need to be quoted for or is a new consent form required?) Please comment on what has been discussed.Update 2 (end of shift)- Vet Name:- Client Name:- Time:- Medical update:- Financial update: (check estimates, do per 12 hr estimates or any additional tests/procedures need to be quoted for or is a new consent form required?) Please comment on what has been discussed.Referring Veterinarian Communication: Daily update emailed to referring vet : YES/NO Time:    Vital Signs