C10018823 / invoice 10000

Reason: His hind legs gave way and he collapsedAppointment Notes: Sky (Dog) - Recheck Appointment [Veterinarian : Dr Clare O'Connor (Preferred Clinician)] - Sky has had a couple of incidents over the last 2 days. His hind legs gave way and he collapsed. He did not faint like a few months back. Outside of this he has been ok for his condition. - Web BookingClient name: Shekhar OkhdeContact number: 0438853707Email address: shekharokhde@gmail.comPatient name: Sky  ------- Sms reply: YesDiagnosis: Stage c/d CHFSubjective: Owner reports: yesterday had 2 episodes of fasitning then recovered, urinated on himself One in afternoon he colklapsed without much exersions, lastes a few secondsThen at night he got off the bed, then heard a thus collapsed then he was better Do see him loose his balance  every 2-3 days, just last few weeks Coughing has been ok of late, happenes just after barkingRRR 16-18Does fdind it hard in hot weather Appetite: okDiet:Drinking: PD as expected Urination:  okDefecation: okDesexed:Worming:HWP:Flea prevention:Other medications:frusemide 20 TID 8mg/kg/dAldactone 1/2 PM Daily 1.5mg/kgVetmedin 2.5 AM/ PM (0.35mg/kg)Objective: Mentation: barEyes: okEars: okOral Cavity: p, g2-3Thoracic Exam: HR 140 g5 murmur sl arythmiaRR 40 and crackels bilat Lymph nodes:Abdomen:Reproductive:Skin / Coat:Flea Comb test:Perineal / Ag's :Rectal Exam ( > 7yo) :Gait / Extremities:Assessment: Stage c/d CHF with significant syncope and pulmonary oedema Laboratory:Treatment: Failur maxed out of med doses already Plan: Book urgent repeat echoAware towards end of life expectency FUC arranged for +   days--- 12/03/2026 09:12:57 ET:Emailed Darron for urgent echo availability    Vital Signs    Weight: 7.1;