C09999380 / invoice 10000

Appointment Notes: tongue is a bit pale, low appetite. slightly lethargic KM HistoryHas had a couple more incidents where she will be running around and will just suddenly get really wobbly and struggle to stand and will collapse. After about 2hours will be back to normal. Some days will also be a bit lethargic and feels like tongue is a bit paler than usual?Physical examNSFTongue normal colourHeart normalPlanBloodsPossibel radiographs nextComms 16/01Bloods normalNext ste neurologist, medicine specialist or caridac for possible syncope? but unlikelyO opted to monitor    Vital Signs    Weight: 9.5;       MMColour: Pink;       RespirationRate: 28;       HeartRate: 120;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       BodyScore: 4;       CRT: 1-2;       

Appointment Notes: been a bit off the past couple of days, struggled to pass poo, and today took her to the park and she sort of collapsed and starting panting heavilySMWas at the park today, normally very active, about 5-10 minutes after being there, stopped for a second as seemed puffed, seemed ok, but then her legs started collapsing beneath her and wobbling a lot. Not moving much at home and panting. Over the last week her energy levels have been low and not eating quite as well. Doesn't really drink that much, has been a little constipated over the last week as well, takes about 5 minutes to get it out, but looks normal. On low fat gastro food.Examination:Oral examination normal.Chest sounds all clear.Abdominal palpation normal and comfortable.Rectal performed -> solid stools in colon, both anal sacs medium in size.Not reactive with spinal palpation, but also reluctant to stand when pressure placed on lumbar spine.NAD on examination of the front and backlegs.Options1) Bloods to check for underlying issues2) Analgesia trial in case painful response.Has elected to monitor for now. Also no strenuous  exercise for the next 7-10 days.    Vital Signs    Weight: 9.4;       MMColour: Pink;       HeartRate: 144;       Temperature: 38.7;       BodyScore: 4;       CRT: 1-2;       

Appointment Notes: bit of a sore tummy SMSensitivity in her stomach when o touch it.  Squeals when picked up sometimes.Also her breathing is a bit laboured sometimesAlso check teethPalpate abdomen - NAD, no painCheck neck / spine - NADLN NADChest / throat - NADSkin / ears / coat   - NADTeeth - gr 1 tartar  - O will try brushingweight - could lose a little weightClipped nailsEAG - medium sized normal dischargeAssess - NSF  - monitor    Vital Signs    Weight: 9.2;       MMColour: Pink;       HeartRate: 128;       BodyScore: 5;       DentalGrade: 1;       CRT: 1-2;