C10023799 / invoice 10000

Reason: Recheck Poss Readmit Appointment Notes: Special payment terms exist, Overdue reminders  ------- Sms reply: YESPresenting Complaint:Hx: Was unsettled last night until midnight then slept. No breakfast this morning so fasted for bloods.PE:    Mm pink, bit tackyHR 148Abdomen tense cranially, she makes uncomfrtable noises for cranial abdo palp. Caudal relaxed, no issues.Temp 38.2    Problem List: DDx:Tx/Plan: took fasting bloods, put back on iv fluids - began with 100ml bolus then onto 60ml/hr. Offerred i/d low fat - ate keenly. Maropitant not due until 3 pm if required. Temgesic and paracetamol given.4.30 pm - removed from drip, gave more i/d low fat. Has not had any vomiting so no further maropitant given. Discharge with paracetamol and r/v if reqd.Dx:Client Communications:Follow-up:    Vital Signs    

Reason: Recheck Poss Readmit Appointment Notes: Special payment terms exist, Overdue reminders  ------- Sms reply: YESPresenting Complaint:Hx: Current Meds:PE:        Mouth:    CVS:    Resp:    Abdo:    MSK:    Neuro:    EENT:    LN:    Skin:    UroGen:    Rectal:Problem List: DDx:Tx/Plan:Dx:Client Communications:Follow-up:    Vital Signs    

Reason: Out Of Sorts, Lip Smacking And Wont Sit DownAppointment Notes: restless12kgPresenting Complaint:Hx: last hour or so, started to appear a bit restless, not interested in food which was unusual, ate a small amount of chicken, drank but kept moving and pacing as though couldnt get comfortable. Normal yesterday, off lead wallk yesterday and does sometimes go out of sight, no vx, havent seen feces yet. Only way can injure herself is to possibly  jumping on and off the sofa or a bed. Had an enterectomy in Perth several years ago for a FB removal but hasnt had GI issues sinceTurkey mince for breakfast, Hills TD for dinner, occasional treat, cheese, peanut butterCurrent Meds:nilPE:        Mouth:gums a bit tacky    CVS:HR120, mm pink and CRT 2 secs, pulse reg and synchronous    Resp:NAD    Abdo:firm  tight abdomen, no descript high abdminal pain, wouldnt tolerate too muchh prodding, then once back on floor adopted the pray position    MSK:mild soreness lower thoracic area    Neuro:NAD    EENT:NAd    LN:NAD    Skin:NAD    UroGen:NAD    Rectal:DNETemp 38.6Problem List: Abdominal painLaboratory: CBC and biochem, serum so lipemic that couldnt  get decent results even with dilution ( ALT / Bilirubin poss high ???)Posivitive on CPL for pancreatitisCRP normalDDx:Tx/Plan:Admit for 3.5 nours of fluid therapyMethadoneParacetamolMearopitantHome at 8 pm with IV catheter in place, small amount of Hills gastrointestinal low fatPlan recheck at 9am, repeat blood test for biochem on fasted sample.Depending on comfort levels and progress overnight, poss readmit furthar fluids +/_ diagnostic imagingDx:Client Communications:Insured with bowwow meow and advised could put through gap payment after tomorrows txFollow-up:    Vital Signs    Weight: 12;