C10003526 / invoice 10000

Reason: CoughingAppointment Notes: *Waiting outside*Reason: CoughingHistory:Started coughing Sunday morning and bringing up salivaCoughing episodes at 1AM and this morningLess energy than usual after dinnerTracheal sensitivity present - coughing triggered when trachea squeezedStill overall BAR and eatingExamination:BAR in consultMMs: pink & moist, CRT < 2secEars: No odour or significant dischargeCardio: no murmur or arrythmiaResp: Lung sounds clear, normal respiratory effortMod/marked tracheal sensitivity produced coughT: 39.7, think a bit stressedAbdo: comfortable on palpation, no palpable massesIntegument: NADLNs: normalAssessment:KC most likely given Hx and age. Go to dog parks.Aboid dogs till after resolves.Delay vacc till after resolvesTend to not need a/b. But if gets worse or INI then consider a/bPlan:Codeine tablets BID for 10 days to suppress cough    Vital Signs    Weight: 31.0;