C10023463 / invoice 10000

Reason: Vomiting On And Off For A Couple Of WeeksAppointment Notes: will vomit once or twice a day, then will have no vomits for a few days and then has a few vomits again. He is BAR and eating and drinking well. SMY.First Clinical Signs: V+ intermittently up to twice dailySummary: moderate gingivitis 4s (query if 408 needs extracting), otherwise PE unremarkable Dx: V+ - non-specific sign, open diagnosis, gingivitis Tx: diet trial with z/d (added to order - dry), home with wet food and laxapetHistory:Clinical signs/progression:- sat last vomit - cries beforehand- twice daily at worst- mostly food, sometimes hair, orange coloured, no blood- no D+- 200-250mls/day Sig hx: Current meds: Appetite & diet: RC hairball control dry food, wet RC sometimes, greeniesPrev Care UTD/products?: indoor onlyHad a dose of prevention 2 months ago Objective:Vital signs recorded to LEFT columnTemperament: Ophtho: Otic: Oral: Nose: CV, pulses: Resp/Chest:  U/G: Abdo palp: Neuro: Musculoskel: Integ: Hydration: Other findings: Problem list: Assessment: Plan: Treatment: Progress notes: Client Comms: +/- Prognosis, tx declinations+/- record conditions/meds in ALLERGIES tabDelete prompts as necessary    Vital Signs    Weight: 4.57;