C10026107 / invoice 10000

Reason: Sedate And Ultrasound SRAppointment Notes: Estimate $500 - $1000O will be using Afterpay EWSedation given after placing IV catheter - dom 0.13m\l; torb 0.13mL IV - adequateUltrasound findings:Gall Bladder: rounded, smooth, anechoicLiver: normal echogenicity and textureStomach: normal layering and motility, fluid ingestaSpleen: normal echogenicity and texture, hyperechoic lesion adjacent to vesselsLeft Kidney: normal echogenicity and texture, good CM definition, Left adrenal: not assessedUrinary Bladder: rounded, smooth, anechoic with hyperechoic flecks, several rounded lesions hyperechoic with acoustic shadowing deep to probe, largest 1.53cmProstate: not assessedRight kidney: normal echogenicity and texure, good CM definitionRight adrenal: normal echogenicity and texturePancreas: normal echogenicity and textureIntestines: normal layering and motility, distal acoustic shadowing in the colonReversal: antipam 0.13mL IM Plan:Urinary bladder stones, at least 4Going to require Sx to remove and then onto urinary diet, est $2800 - 3200    Vital Signs    Weight: 13;