C10005786 / invoice 10000

Appointment Reason: Drain FluidAppointment Notes: Peppy (Cat) - General Consultation [Clinician : Dr Demian Bullock (Preferred Clinician)] - Pleural EffusionShe was in emergency for two nights and she took fluids from her lungsWeb BookingClient name: Kate LeeContact number: 0421164213Email address: hwalee0108@gmail.comPatient name: PeppyE: Resp effort +++. A: Pleural effussion. Rads show mass heart base with tracheal compression.  Also poss mass caudal lung fields. P: Admit for chest drain and US FNA of mass if possible. +/- sedation. BPF: 800-1000 for scan/drain/FNA etc. E: Ulktrasound shows fluid +++ in thoracic cavity. Poss mass vs consolidated accessory lobe caudally. Rads show fluid ++ R side lung fields, L caudal lung fields clear. T: Drained approx 90mls fluid RHS chest. Limited fluid from L side.FNA of mass in caudal field but could not aspirate cranial poss mass via US. Monocytes evident on smear. Some loss of dipahragmatic detail so chance diaphragmatic hernia but no obvious abdo contensts on ultrasound scan. P: CT may still be warranted if FNA non diagnostic.Dexason today. Can drain chest PRN.     Vital Signs    Weight: 4.3;