C10007249 / invoice 10000

Reason: Admit For Echo RsAppointment Notes: Overdue remindersHistory: Last year noticed heart mrumur, started on heart meds without echo. Currently doing well, will have occasional fast breathing at night, but overall stable. On primobendan 2.5mg po bidExamination: Mm pinkCrt<1Heart sound G3 heart murmur HR 96 -- slightly slow Mm pink Crt<1 Abdo palpation wnl Temp 38.3 Assessment: Fir for echo with very mild sedationWill collect blood test for HW test Laboratory: Inhouse bloods are good Heart worm test -ve Treatment:0.33ml butophanol IM then add 0.15ml IM Echo finding Stage b2 heart disease. With ruptured chordate tendinae currently stable, heart is compensating well. Moderate incrased ventricular size . Recommended recheck echo in 12 month, earlier of any issues. Plan: See discharge statement 1 reduce exercise2 repeat echo 12 mon3 monitor breathing effort    Vital Signs    Weight: 11.5;