C09970542 / invoice 10000

Reason: Check Up Appointment Notes: ------- Sms reply: YesVerified: NoHistory:Presenting for: 22-week-old male intact Dachshund presented for concerns about being underweight and hyporexicDiet: Poor appetite - takes a few bites then walks away, doesn't finish meals. Fed Royal Canin kibble (puppy dashund) and wet food (chicken and lamb varieties). Given boiled egg weekly, occasional mango and strawberry pieces, and carrots weekly.V/D/C/S: Soft stools that sometimes leave marks when picked up, brown in colour. No vomiting, coughing or sneezing Current Meds: No current medications or preventatives mentioned.Other: Enjoys daily baths but now limited to weekly. Chews on weeds occasionally.Examine:Mentation: BARWt: 3.8 kgBCS: 3.5/9 - leanHR: Around 100Behavioural: Very excited during examination. Cooperative for blood collection but very wiggly, resulting in minor bruising at venipuncture site.Oral: Has adult incisors and deciduous canines, premolars and molars Urogenital: Intact male with two small descended testiclesIntegumentary: Coat appears normal and dryAssessment:Poor body condition and appetite - DDx: open inadequate caloric intake vs underlying dz - giut vs liver disease (ductal plt malformation, portosystemic shunt etc vs immune-mediated hepatopathy) vs normal variation for breed sizePlan:Diagnostics:- General blood work submitted (includes AST and accurate T4, llipids)  - AUS (+/- B12) +/- function testing liver testing recommended if initial blood work abnormal or if caloric intake Diet Recs:- Calculate daily caloric requirements: approximately 380 kcal/day for growing puppy- Measure exact amounts of kibble and wet food being offered and consumed- Provide feeding log with gram measurements to assess if adequate calories being consumedAdditional Discussion:- Dachshunds predisposed to liver conditions including portosystemic shunts and immune-mediated liver disease- Liver disease often diagnosed late due to large functional reserve- Soft stools likely related to puppy age and varied treats but also possible reactive to liver disease- Minor bruising at blood collection site will resolve in few daysClient Comms:- Await blood work results before determining next steps- Submit detailed feeding log with exact measurements- If blood work normal and caloric intake adequate, will proceed with liver function testing- previsit sedation disepnsed prior to future bw if required    Vital Signs    Weight: 3.8;       

Reason: Vaccination Appointment Notes: ------- Sms reply: Yes  ------- Sms reply: YesHistory: R. GriffinHas been well no concernsO forgot the name of parasite preventionEddu wellExamine: BAROral exam nadSkin and eyes nadEar - mild discharge no inflammation - cleaned in consult with small amount epitoic sisBoth testes presentHeart and lung sounds nadNo herniasMSK exam nadLNs nadAssessment: fit for vaccinationTreatment: protech C4 s/c L rumpNovibac lepto 2 s/c R rumpPlan: bootser in 12 monthsDisc desexing and ongoing parasite prevention    Vital Signs    Weight: 2.8;       MMColour: pink;       Temperature: 38.1;       HeartRate: 144;       BodyScore: 5/9;       CRT: <1;       

--- 15/12/2025 08:26:31 KWY: New puppy text sent    Vital Signs