C09991767 / invoice 10000

Reason: V+ BileConsultation Time:History: Utd with ftw/ vaccOften gets lambs/ beef minceO fed cooked lamb mince 2 nights agoThis am pt V+ dinner from last night & bile V+ No access to tox/chemNot a scavenger No D+ Subjective: BAR Objective: Temp       38.6     MM        pink      CRT       2-4sec        140              FP norm BCS:   /9                       Wt:   kgPain Score (CSU):   /4CV:  NAD       RESP:   NAD           RRGIT:   NADU/G:  NADNeuro:  NADM/S:  NADInteg:  NADOphth:  NADLNs: NADProblem List: V+ Assessment: Abdominal palpation : nad V. Bright in the clinic  Options Offered to Client:anti nausea with bland diet  Ddx pancreatitis vs others  Treatment:Maropitant 1mg.Kg s/c @ 0930Plan:Bland diet If not better then revisit RV this pm for further work up    Vital Signs    Weight: 8.3;