C10018668 / invoice 10000

Reason: Coughing More Freq + Ears MM Appointment Notes: Overdue remindersVetmedin liquid 7kg dose twice dailyFurosemide 20mg 1/2 tab twice dailyUrsofalk - not used regularlyAppetite okay, no ravenousBM solidUsing more effort to breathCough is hackingNo further syncopal episodesEars were a bit red the other day but okay nowExamination: Muzzled as growling +++Grade 5/6 systolic HM, HR 120Mild wheeze No tracheal sensitivity LN WNLAbdomen - potbellied, firmSkin and coat okayEars okay - no discharge or inflammationAssessment: CHFCough - bronchitis? Related to cardiomegaly? Cannot rule out pulmonary oedema but no crackles heardTreatment: Continue on current doses of vetmedin and furosemideCourse of doxycycline 50mg po bid for 14 daysPlan: Monitor RRR and coughCall with levels tomorrow so can track if increasing    Vital Signs    Weight: 7.4;