C10021082 / invoice 10000

Reason: Upset TummyAppointment Notes: Loose stools, eating grass, NQR. KCHistory: Quiet, not moving much on Mon. Vomited bile once but none sinceSince then loose stools - watery, no bloodAte grass wed (ytd )Eating only half normal portion, still on normal food - RCW adult 8+, 12+ dry food Last ate last night half the meal, this morn only one mouthful Brighter today than on Mon, almost normal energy levelsHx adrenal tumourExamine: BAR, compliantBCS 5/9 - mild weight loss. Mild skin tenting?MM pinkCVS NAD, HR 100bpmAbdo soft and comfy, fluid filled intestines. No abdo pain. Mass not huge, not distinctly palpable. Soft solids present in rectum, no blood. Eating chicken eagerly hereTemp 38.5Assessment: Likely primary GI disease, but cannot r/o malaise from systemic issuesTreatment: Maropitant 0.74ml SC Pro-kolin 3ml BID Plan: Bland food for 2 days or moreCont pro-kolin until normal poo or until finishedRevisit at once if worseRevisit Mon if not better by then    Vital Signs    Weight: 7.4;