C10008807 / invoice 10000

Reason: ReviewAppointment Notes: bay 2Subjective: With nexium and carafate happy and eating again, eating kangroo and pumpkin as did not like canned food.When stopped nexium, returned to a small vomit again, rang aec and told to restartRestarted medications again and was eating againOn nexium 40mg bid And carafate 1g bid The belief is we have an ulcer, (could be reflux, ?? Positional or other reasons)If ongoing, would recommend more work upObjective: A much happier boy, no longer hunching, wanting goodAbdomen comforatableDrooling for foodAssessment: doing wellPlan: Discuss slow reduction of nexium 40mg bid one week then 20mg bid then 20mg sidCarafate 1g bid one weekFeed 3 meals dailyif ongoing, consider review for barium series to check positioning of stomach/endoscopic examination vs review with a specialist.se Supply:Rx: Nexium 40mg tabletsMitte:  30Sig: one bid For animal use only.No repeats    Vital Signs    Weight: 46.8;