C10015734 / invoice 10000

Appointment Notes: Has a cough and o is worried its not getting better/going away. been going on for 12 months. was giving treatment but nothing has worked or gotten better. scott thought it could be asthma, but o is worried its something else. O explained they are fits of coughing, and he gets distressed, as if he is trying to cough something up, says it sounds like a smokers cough.  KCHISTORY; Dry hacking cough like he is clearing up throatCough more in the morning, when he gets up Coughing ongoing for 12 months and getting worse. Was treated for presumptive asthma. Interceptor monthly + bravecto 3 monthly HW positive when adopted and was treated for it 8 years ago No heart murmur Cough few times in consult room from putting on lead Peripheral LNs NAD    Vital Signs    Weight: 19.3;       Temperature: 38.8;