C10022251 / invoice 10000

Reason: Has Heart Murmr, Breathing Very Heavy And Had Appointment Notes: episode 11/03/26. RB Specifically asked for IK as mum's dogs see IK. - RB  Overdue remindersPet Primary Diagnosis/Suspected Diagnosis/Location: congestive heart failureSuspect cause: mitral valve diseaseAny other conditions being treated (if any): NILKnown health concerns: NILDate of first clinical signs (if known): 11/3/2026To be filled in prior to submitting claimAdditional notes can be added laterHISTORY:EDDU:DIET:VACCINATION STATUS:PARASITE PREVENTION:ENVIRONMENT:EXAMINATION:MENTATION: BAR, normal mentationBEHAVIOUR:INTEGUMENT: no significant findingsEYES: no significant findingsEARS: no significant findingsORAL: no significant findingsLYMPH NODES: Submandibular, popliteal normalCARDIOVASCULAR: cardiac auscultation, femoral pulse normalRESPIRATORY: eupnoeic. nares, throat, lung auscultation normalABDOMINAL: palpation- no significant findingsRECTAL: --UROGENITAL: no significant findingsMUSCULOSKELETAL: ambulatory x 4, no obvious lamenessNEUROLOGICAL: no obvious deficits presentedASSESSMENT:TREATMENT: PLAN:History:Worming/Heartworm/Flea control status:Vaccination status:Nutrition:Examination:COAT/SKIN:EYES/EARS: MOUTH/TEETH:HEART: LUNGS: ABDOMEN/DIGESTIVE/URINARY: CNS/MUSCULOSKELETAL: PERIPHERAL LYMPH NODES: WEIGHT/DIET: Body Condition Score:REPRODUCTIVE: Assessment:Laboratory:  Treatment:Plan:Reason: Sedation/GA and radiographsPLEASE ENSURE VETS HAVE FINISHED EDITING XRAYS BEFORE THEY ARE FINALISED ON THE XRAY COMPUTER (Delete this note when completed)PLEASE ENSURE S8, NSAID & MISC. FEE QUANTITIES ARE ADJUSTED TO CORRECT AMOUNTS BEFORE FINALISING (Delete this note when completed)Procedure: premed: ACP XXml; meth XXml @IV catheter placed, alfaxan induction XXml slow IV to effect, intubated size XXmm cuffed ETT, maintenance isoflurane.Routine GA no complicationsIVFs - hartmanns @ surgical rates (XXml/kg/hr) throughout procedure.Radiographs:Plan:    Vital Signs