C10005730 / invoice 10000

recheck after starting meds last Tuesday
GAP ONLY PLEASE

Gap Only summary: 
Primary concern: 
Duration of issue: 
Suspect ddx:   

Coughing reducd
Severity has improved 
Still sounds like having old man cough. Less deep more back of his throat. 
Not coughing as much but still 4-5 times a day vs every hours before this 
Did have one vomit from having all meds at once. 

fRUSEMIDE 20MG bid AT THE MOMENT DOING WELL 

NEED MORE FRUSMIDE 
Has been otherwise good. 

SRR: Went down to 32 but not beneath since starting frusemide. Havent checked last few nights. 

No V+ or D+. BAR, EDDU normal. No other concerns. 

Preventatives: 

O: MM colour pink. CRT = 1-2s.
Grade () dental dse.
SMLNs normal. All other LNs normal.
Eyes: Clear, no corneal lesions, conjunctivitis or ocular discharge.
Ears: Clean, no inflammation or infection. No evidence of mites.
Chest ausc: Normal sinus rhythm. No heart murmur or arrhythmias. HR: ()
Resp ausc: Normal - no abnormal resp. sounds. RR: ()
Abd palp: Comfortable on abdominal palpation. Soft and pliable. No evidence of masses or FBs. T: ()
Skin and Coat: Clean, healthy coat. No other derm. lesions.
Neurological: Normal gait and proprioception. Full neurological exam not performed.
Musculoskeletal: No pain on manipulation and palpation of bones, joints and muscles.
BCS: ()/5

A:
- Problem list:()
- Ddx. ()

P:
- ()