C10027671 / invoice 10000

Present for dental procedurepre-anesthetic blood work - Moderate elevation ALT 300, and pre-renal azotemia (urea marginally elevated).Misc fee for PreGA bloods SDPhone owner to discuss blood resultsrecommend in light of history of likely food responsive chronic enteropathy but also in light of recent reluctance to go on walks (behavioural change), initially put down to anxietyrecommend1.  Serum bile acids paired today2.  referral for Abdominal US3.  O to collect urine sample to check USG (no charge)the diet has no chicken or kangaroo, but is mostly stable on it's current diet but does get a sensitive stomach still intermittently.  -  referral submitted-  LVW f/up results next Tuesday    Vital Signs    MMColour: Pink;       RespirationRate: 24;       HeartRate: 120;       HeadEyes: Normal;       Skin: Normal;       MusculoSkeletal: Normal (ROM HL okay, no limp observed);       Ears: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal (comfortable on palpation);       Demeanour: QAR (fas 1/3);       Gingivitis: 1;       Calculus: 2;       BodyScore: 5;       DentalGrade: 2;       CRT: 1-2;