C10024556 / invoice 10000

Still hypersalivating when exercising - Matt sent email through.Discussed options - med reverral - trial gastritis meds - ini phenomav trial, WEIGHT lossleft a puddle of urine in bed this week - hasnt done that before - no dysuria otherwise.Watch that space - take out to toilet before bed.USMI vs seizure?Measure 24hr water intakeOmepral 20mg BID 10dCarafate BID 10d.Report results in 3-4 days pleae

Hx: hypersalivation during exercise with heaps of watery saliva shooting out of mouth. Happens when just walking too. Good exercise tolerance, no fainting or seizures. EDFU wnlsWatery eyes too when exercising on oval - occasionally overnightExMMC P CRT 1sEENO WNLs - no watery discharge down face atm - globes and conjunctiva NAD, no blepharospasmTeeth nadTongue palate NADSalivary glands jaw face palp nadThoracic ausc nad - HR 100- regular no murmur. Lungs nadABdo palp nad - bit overweightLipomas x 3 - one flank, one ventral chest - new small one L flank - fna - just fat.Integ lovelyUG and MSK nadNeuro exam nadProblems:Hypersalivation at exerciseoverweightlipomasmild conjunctivitis (not current)Plan: 1.) hypersalivation - get a video of what is happening here. Could refer to GARS for work up +/-MRI (partial seizure?)2.) weight loss plan3.) Clean eyes when watering - if blepharospasm or red or green discharge revisit

The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required.GapOnly claim Insurance SummaryFirst Clinic Sign~3-4 months ago:Summarylump noticed on chestEx:~2cm soft immobile mass central ventral thoraxF.N.A - adipose tissue and RBC contamination, no other cells present:Diagnosis:lipomaTreatment:monitor, revisit if any rapid change in size/appearance