C10012609 / invoice 10000

Reason: DKA, Entire, In Heat. Appointment Notes: Overdue remindersRecord is In/CompleteReason: Hospital day: ICU SOAP per 12 hours (overnight shift)Case Summary:Examination: Subjective: Objective: Temperature: CVS: Respiratory: Abdomen: Genito-Urinary: M/Skeletal:Neurological: Eyes/Ears: Integument: LN's:  BWT: Nutrition: Fluid therapy: Laboratory: Other: Assessment: Plan: Client Communication: Update 1 (start of shift)- Vet Name:- Client Name:- Time:- Medical update:- Financial update: (check estimates, do per 12 hr estimates or any additional tests/procedures need to be quoted for or is a new consent form required?) Please comment on what has been discussed.Update 2 (end of shift)- Vet Name:- Client Name:- Time:- Medical update:- Financial update: (check estimates, do per 12 hr estimates or any additional tests/procedures need to be quoted for or is a new consent form required?) Please comment on what has been discussed.Referring Veterinarian Communication: Daily update emailed to referring vet : YES/NO Time:    Vital Signs    

Reason: Ultrasound [Tech Procedure fro ECC]Appointment Notes: Overdue remindersFINDINGS:                                                 LIVER: Normal size, lobar architecture, parenchymal appearance. Normal biliary collecting system.	GALL BLADDER:	 Anechoic content, wall thickness: cm, diameter: cm.SPLEEN: Normal appearance to parenchyma , the mid-body of the spleen measures 	LEFT KIDNEY: There is normal corticomedullary differentiation with normal colour Doppler flow through the vasculature, there is no evidence of pyelectasia. Length of kidney:	 cm. Resistive index is:RIGHT KIDNEY:	There is normal corticomedullary differentiation with normal colour Doppler flow through the vasculature, there is no evidence of pyelectasia. Length of kidney:	 cm. Resistive index is:  LEFT ADRENAL: Normal architecture and echogenicity, caudal pole cm RIGHT ADRENAL: Normal architecture and echogenicity, caudal pole cm		STOMACH:  Normal wall layering, cm		DUODENUM: Normal wall layering,  cm SMALL INTESTINES: Normal wall layering, cmCOLON: Normal wall layering, cm 	PANCREAS: Normal parenchyma, cm	PERITONEUM: Normal, no peritoneal effusion present	LYMPH NODES: Normal architecture and echogenicity, cm	PROSTATE/UTERUS: N/A	TESTES/OVARIES: N/A	AORTA:	 Normal colour Doppler flow, cm URINARY BLADDER: Anechoic content of normal appearance. Normal wall thickness cm Comments/Interpretation :    Vital Signs