C10026205 / invoice 10000

Reason: EchoHistory: has been well @ homeOwner not monitoring resp rateExamination: QARMucosa pinkHR 96 3/6 murmurLaboratory: collect sample for TAHPSedation: utorphanol 0.4mg/kg, ACE 0.02mg/kgSufficient sedation to restrain for echoDiagnostic Imaging:  ECG normalUltrasoundThickened MV leaflets with incompetent MV and ecentric posterior ejection flowNo MV prolapse notedLV wall and chamber sizes similr to previous scan LVIDDn = 1.4LA similar sized, La/Ao 1.5PV/Pa 1.6Normal ventricular function notedNormal pulmonic flowNormal aortic flowNo evidence pulm hypertensionAssessment: still stage 2A MMVDNo meds required at this stagePlan: can report bloods on mondayRescan if clinical deteroiration of murmur deterioation >=4/6    Vital Signs    Weight: 16;