C10014086 / invoice 10000

Reason: PreGA Appointment Notes: Overdue remindersHistory: recheck for management of suspected PLE following ultrasound findings. Declined biopsies.Positive response to tx: appetite, energy, weight and defecation normal consistency.RX:- prednisolone 17.5mg (~2mg/kg PO SID). - Thromboprophylaxis- clopidogrel 1/4 tablet PO SID - probiotics - Vitamin B12 0.5ml subcutaenously weekly (O performing at home)- Dietary therapy: low fat diets and hypoallergenic ideal, O changing to Hill's z/d, no low fat in stock and home cooked chickenExamination:BAR BCS 4/9Abdomen palp comfortableHR 100 no murmurRE normalResults:ALB 26 g/L 22 - 39Previous: 27/02/2026 25 g/L 22 - 39K 3.4 mmol/L 3.5 - 5.8 mild but improved 27/02/2026 3.0 mmol/L 3.5 - 5.8UREA 16.0 mmol/L 2.5 - 9.6, new, suspect pre-renalHCT 31.4 % 37.3 - 61.7 L mild anaemia. stable, suspect related to immunomodulatory level of pred. 27/02/2026 31.1 %Assessment:Clinically improving however ALB still below 28g/L.Increased 1 unit in 1 week.Plan:Repeat PGA in 2 weeks, continue current dose of prednisoloneOnce Winston's albumin has improved (>28 g/l), prednisolone can be reduced by 25% every 6-8 weeks--- 11/03/2026 08:25:01 TO:Recall sent.--- 11/03/2026 09:51:52 SL:Left VM for Gen 10/3 and 11/3    Vital Signs    Weight: 10.6;