C10001054 / invoice 10000

Reason: Lepto vaccine- due for Lepto vax but we now have Lepto 2 Nobivac. Booster equired in 4 weeksHistory:  Screening bloods for VBT also requiredUsual medicationsO noticed some weight loss, has been wking n this for months and may be cutting out treats.EDUD well - diarrhoea now resolved, on special diet with fibre/ home cooked foodSertraline 50mg 1/2 tablet SIDClonidine 150ug x 2 . So 300ug/kg SID or BID as requiredExamine:  Bright Grade 0-1 dentak dzChest Cv NADWeigh loss looks good, musclar tone looks greatPlan:  Bloods taken for CBC/ biochem, checkTPNobivac Lepto 2 given/ Booster in 4 weeksLaboratory:  Blood test all wnl. Sent results to VBT.    Vital Signs    Weight: 21.5;