C10012887 / invoice 10000

Appointment Notes: VETSTORIA  Lisa Thurlow (0420858575 thurlowlisa9@gmail.com) with Jobe (Dog) - Consult (Check pancreas sludge after it was discovered in Dec,) - [Veterinarian : Dr Madelaine (Preferred Clinician)] -  Web BookingClient name: Lisa ThurlowContact number: 0420858575Email address: thurlowlisa9@gmail.comPatient name: JobeAttendees:History:Jobe presents for re-assessment of gall bladder sediment following POCUS December 2024. Eating drinking urinating defaecating normallyNo vomiting/retchingNo coughing, no exercise intolerance, no breathing difficultyNo lameness, stiffness or sorenessNo itching and scratchingBright Alert ResponsiveBody condition scoreExamination:Mucous membranes – pink moist crt <2sOral cavity – clear, no evidence of ulceration, tongue normal, hard palate fineTeeth – grade 0 Nasal planum – normal pigmentation and architecture, no crusting, no dischargeEyes – eyelid conformation normal, PLR normal, no chemosis,  no dischargeEars – no discharge, no erythema, pinna fineLymph nodes - normalHeart – normal regular rhythm no pulse deficits, no murmur HR 120 Lungs – clear sounds bilaterally, no crackles or wheeze, tracheal pinch negativeAbdomen – comfortable on palpation, bladder normal, no masses palpatedLimbs – all good range of movement, no swelling or pain on palpationNeck and spine – no pain on palpationSkin – no sign of erythema, no alopecia,  Nails – fineAnal glands – not scootingGenital region - no masses or swellingsUltrasound: Moderate immobile bile within gall bladder Diagnosis:Primary cholestasis (gall bladder sediment) Treatment:Ursofalk 10mg/kg daily PO Plan: Repeat AUS in 3-6 months to monitor ongoing.    Vital Signs