C10012070 / invoice 10000

O called this AM and reported that ted is unwell again was ok over the weekend but not eating and vomiting the last 48 hoursNeeds to be reassessedHad discussed with O that if not continually improving needs to come in so probably should have on MondayAssessment:PyrexicAnorexicDiarrhoea has improved a bitPlan:Needs repeat bloods and abdo U/SLab:Neutrophilia with left shiftVN coming at 3:45pmUltrasound showed bright fat around colon and caecum, lots of diarrhoea. Rest of GI looked ok other than area of stomach towards pylorus thickened - may need a biopsy if symptoms continue.Likely just a gastroenteritis. Continue fluids, add in esomeprazole - given 1mg/kg slow IVSedated for u/s with 0.7mL methadone, 0.07mL domitor IVHas had prevomax 3.5mL IV    Vital Signs    Weight: 34.1;       MMColour: Pink;       RespirationRate: 30;       HeartRate: 140;       Temperature: 40.1;       BodyScore: 5;       CRT: 1-2;