C10007690 / invoice 10000

Repeat renal parameters and Total T4History: Was in SASH for 3 days for inappetence. Hyperthyroid, hyporexia/chronic GIT issues, left sided hydronephrosisRequest for repeat Renal parameters and Total T4 from Dr Joanna White, internal medicine consultant at SASH.Current meds:- Thyronorm (methimazole) 2.5mg bid- Gabapentin 100mg bid- Probiotics- Mirtazepine. Transdermal- Vit B12Examination: BCS: 3/5 Reasonably brightGood skin tentMM pinkHR 200. Mil grade 2/6 pansystolic murmurAbdo palpation. Faeces palpable. No masses. Laboratory: - SDMA: 10 (0-14)- Creatinine: 59 (71-212)- Urea: 10.7 (5.7-12.9)- Total T4: 26 (10-60)Assessment: Renal function normalHyperT appears to be managed well with Methimazole 2.5mg bidTreatment: Clipped mats from coatNone otherwisePlan:Continue current meds as prescribed by SASH.- Thyronorm (methimazole) 2.5mg bid- Gabapentin 100mg bid- Probiotics- Mirtazepine. Transdermal- Vit B12    Vital Signs    Weight: 3.89;