C10015284 / invoice 10000

Reason: Drop Off For Focal GIT UltrasoundAppointment Notes: Overdue remindersConsultation Time: 0900Hospital Time Period: 0900 - 1300History: O report Bean has been BAR and EDDU normally at home. They have been only allowing toys when supervised. Presenting today for repeat focal duodenal ultrasound after vomiting incident >1month ago where a duodenal thickening was observed on abdominal ultrasound.Subjective: BARObjective:Temp:  38.3          MM: pink, moist             CRT: <2s            HR: 170 = FP (normokinetic, bilaterally synchronous)              RR: 20BCS:    6/9                Wgt:   4.81 kg Pain Score (CSU):   0/4CV: No murmurs or arrhythmias detected on cardiac auscultation.    RESP:  Normal breath sounds throughout lung fields.GIT:   Comfortable on abdominal palpation. U/G:  NSFNeuro:  Mentation appropriate. Full neurological examination not performed.M/S:  Ambulatory. NSF. Integ:  NSF.Ophth:  NSFLNs: Palpable peripheral LNs WNLs.IMAGINGAbdominal ultrasound - focal duodenal. Normal.Problem List:Previous FB ingestionsPrevious duodenal thickening - resolvedAssessment: Bean has no pathology recognised on abdominal ultrasound and has been BAR and EDDU normally at home. Treatment: Butorphanol 0.2mg/kg IV 	Plan: Monitor at home.1140 phoned owner and discussed results of a normal ultrasound examination. Home on monitoring and revisit with any concerns. O will collect Bean in about an hour.    Vital Signs    Weight: 4.81;