C10029057 / invoice 10000

Reason: Lethargic, Not Eating JhlHistory:perked up after metacam injection. Could hardly walk today, not eaten today. Pooped normal. Urinating, no coughing.DietCurrent medications and fluid therapyPrevious TestsDescribe any changes since the last check:Examine:was very very good. Refused treats. Needs dental. T39.1, left heart murmur only. Hr 120. Abdo nad. Suspect needs metacam and back/leg issue, also probably needs to reduce length of walk considerably. If eating and doing well on metacam can look at dental. Discussed may need cardiac work up. . 2 testes ok.Assessment:Differential Diagnosis:Laboratory:Plan:Declined-Deferred Services:List Services offered/Reason declinedOther Services provided:    Vital Signs    Weight: 9.5;