C10015257 / invoice 10000

History: Admit BHPresented for judd u/sO noted that her vomiting hasn't been as frequent in the last 2 months but would still like her to be checked with an u/s for any underlying issuesHas been fastedConsented to nails, and resusHere for abdomen ultrasound due to chronic vomitting Eating well - on hills t/d and tiki wet foodConsent to estimate , consent to bloods Examination: BarOmm pink Crt1s G1 dental diseaseThoracic aus WNL Abdomen soft and non painfulLaboratory: Abdomen ultrasound : (await full report)Mucosal fibrosis segmentally but no thickening of gut TAHPAssessment: Non specific git changes , not stongly sugestive of IBD or otherTreatment: Medetomidine 0.1ml / ketamine 0.08ml / methdone 0.13ml - adequate for IVC placement but still growly and a little twitchy0.2ml alfaxan given IV for ultrasound Antipam 0.05ml reversal after u/s Consent has been given by the client to proceed with this treatment  -  YesPlan:Await bloods - pending this consider adding B12 and TLI Consider food trial hypoallergenic or z/d for 6-8 weeks to rule out food related    Vital Signs    Weight: 4.41;