C10004136 / invoice 10000

Reason: Runny nose - antibiotics finishedAppointment Notes: Pete (Dog) - Kelly Zaknic - 0400090715 - Consultation Standard (one concern and rechecks) [Clinician : Dr. Kate Clair(No Preference)] - Runny nose - antibiotics finished  - PreviousWeb BookingClient name: Kelly ZaknicContact number: 0400090715Email address: kellyzaknic@gmail.comPatient name: PeteSubjective and History:BARObjective:Mm pinkCrt< 2secNo heart murmurNares: light amount of clear discharge both nostrils. Sneezed once in the consult. No swelling on the nasal bridge. Both nostrils patent (slide test)T 38.4oCPanting. Mild stridorAbdominal palpation wnlNormal peripheral LNsBCS 6/9Assessment:Ddx: upper respiratory tract disease: nasal fb, tumour, fungal, allergic rhinitis, immune rhinitis.Less likely a pure bacterial infection Plan:Doxycycline 100mg: 3.5 q24h x 2 weeks. Then stop. If returns can have intermittent doxycycline to help keep him comfortable or ongoing if needed. Nsaids if needed.Discussed referral for CT but not keen due to age. Follow up:    Vital Signs    

Reason: Breathing issuesAppointment Notes: Pete (Dog) - Kelly Zaknic - 0400090715 - Consultation Standard (one concern and rechecks) [Clinician : Dr. Alex Smeliansli(No Preference)] - Breathing issues  No, this is not an emergency. Previous Web BookingClient name: Kelly ZaknicContact number: 0400090715Email address: kellyzaknic@gmail.comPatient name: PeteHistory: Started abx Sunday bc nasal discharge was not improvingNow nasal signs improving but unusual breathing episodes (sounds like reverse sneeze/spasm)Energy normal, eddu normal, no v+, d+Physical Exam: BARMM p+m CRT<2sHR 104 RR pant SPO2 98BT 38.2Lungs clear but some referredf URT noiseSneeze and reverse sneeze in consultAssessment: Discussed rads + bloods vs continue abx and mopnitorElected latterMonitor for gum color change, energy levels, RRR, EDDU    Vital Signs    Weight: 34.8;       

Reason: amoxyclav Appointment Notes: Special payment terms exist, Overdue reminders    Vital Signs