C09997182 / invoice 10000

HR 100 RR unable to get and shakingVeyr hunched over and generally looking uncomfortable. MM pink <2 secHISTORY:Presented for waxing/waning history of being unwell this week. Started Monday. Intermittently eating, no vomiting, some diarrhoea. Has had some normal stools. Ate dinner last night and a few biscuits at lunch today. They have not seen him drink water Otherwise has been well. Poss grumpy tummy over last several months but never anything that lasted more than a couple of hours. Diet: kangaroo prime 100, biscuitsNot a scavengerHas been in prayer position today; improved with meloxicam administration EXAMDemeanour: barBCS 4/9Cardiovascular: Heart valves clear, Pulses strong and synchronous, HR 120Respiratory: clear lung fields Temp: 39.2MM colour/CRT:  pink, dry, CRT <2sDental: nadEars: Externally NADEyes: NAD LN: NADSkin: NAD Abdominal palpation: tenseMusculoskeletal: nadASSESSMENT/Problem List: Open - abdominal pain (GI versus extra GI) TREATMENT:REcommended admit to hospital. Await pre-approval as limited fundsMaropitant 0.46ml SC Buprenorphine 0.2ml SC Full bloods with pancreatic lipaseCLIENT COMMUNICATION:

The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required.GapOnly claim Insurance SummaryFirst Clinic Signs:nil Summary:heartworm test - 6 months post startig heartworm Diagnosis:nil Treatment:nil required- negative hw test 

Repeat heartworm testNegative heartworm test and started on Proheart 6 months ago Repeat heartworm test today - Negative