C09996930 / invoice 10000

Reason: Not Eating NQR BtaAppointment Notes: History: Lost interest in her food last week, normally scoffs her food but has been picking at it instead. Chewing ok. Eating cooked chicken, veggies or riceNo V+ or D+Restless and confused as of todayHas been hiding under bed last month or so which is unsual. Not acting herselfNot on any medicationNo other pets in homeNo change in routine or dietQuieter than usual Not up top date with vaccUp to date with parasite treatment, advocate spot on appliedDrinking a bit more water than normal Examination:BAR Eyes: NAD Ears: NAD Mouth: fractured lower R PM, gum inflamed. Rest of dentition g1-2, calculus on carnassials Circulation: MM pink and moist, CRT <2 sec Heart: HR WNL, no murmur Lungs: RR WNL, chest clear Abdo palp nsfCoat and integ good MSK ok BCS ok Temp: 39.3 - warm day, warm in consult room Assessment:Problem list: hyporexia, lethargy, poss PD Ddx: renal, endocrine, other Dental dz Plan:Bloods. Call with results once through If ok, to go ahead with dental    Vital Signs