C10013269 / invoice 10000

History:
- Recheck for chronic kidney disease and hypothyroidism.
- Follow-up on nucleated red blood cells (nRBCs) noted on bloodwork one month prior.

Physical Examination:
Unless otherwise stated - examination normal
Weight:
- Stable, no loss noted.
MM and CRT:
HR and rhythm:
Abdominal palpation:
Ears/Eyes/Nose:
Mouth/Dental:
- Pre-existing dental disease.
Skin and Coat:
Limbs/gait:
Other:
- Stertor at rest.
- Suspected laryngeal paralysis.

Other Relevant Clinical Findings:

Pathology Testing:
- Blood collected for full biochemistry, hematology, pancreatic lipase, and thyroid assay.
- External blood film review requested to assess for nRBCs.
- Urine collected via cystocentesis for in-house urine protein:creatinine ratio (UPC) and urine specific gravity (USG).

Assessment/Summary:
- Recheck for multiple stable chronic conditions (CKD, hypothyroidism).
- Investigating previous hematological abnormalities (nRBCs)
- Clinical findings include dental disease and suspected laryngeal paralysis.

Plan and Treatments:
- Await diagnostic results.
- Contact owner tomorrow with results.

Need for a recheck and if so, when?
- Phone consultation tomorrow (March 11, 2026) to discuss results.



DH