C10008500 / invoice 10000

Reason: RaspingAppointment Notes: Overdue remindersPresenting reason: Upper respiratory symptoms including sneezing, nasal congestion, and wheezing.History:Cat has a history of cat flu. Symptoms started a week before the owner's departure, worsened upon the owner's return. No changes in behavior or appetite noted.Physical Examination: HR: 200RR: 16T: 38.5MM: Pink CRT: <2scLOC: BARExamination:Ears, eyes, nose: Nasal congestion noted, no abnormalities in ears or eyes.Dental: NADRespiratory: Wheezing and difficulty breathing through the nose due to congestion. Lungs sound clearCardiovasc: sinus rhythm and synchronous peripheral pulsesAbdo: soft, pain free on palpation, no mass effect or fluid wave evidentMSK: appropriate ambulation and MentationIntegument: good conditionLaboratory tests:Problem list:1. Upper respiratory tract infection2. Nasal congestion3. Wheezing/stridor?Assessment:Likely cat flu, considering the history and clinical signs. Differential diagnosis includes feline asthma, but less likely given the context.Plan:Administer doxycycline twice a day for five days, with food. Use steam treatment to help alleviate nasal congestion. Monitor and if no improvement in a few days, re-evaluate the treatment plan. Owner advised to observe and report any worsening of symptoms.Advised not to dry pill cat--- 06/03/2025 11:36:13 GR: LMOM 06/03/25O Mum is looking after cat. Reports doing well and has improved    Vital Signs