C09971288 / invoice 10000

Appointment Notes: Overdue reminders  ------- Sms reply: YReason: History: Diet: hills digestive bdry BID 1 cup, fixed digestive issues EDUFNo V+ UTD nexgard No concerns Itches at ears Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:Add pineapple to diet    Vital Signs    

History: Going well at homeBenji - relatively soft faeces on and off since moving onto adult food. No diarrhoea, no blood in faeces- RC dry food adult - beef. - under 2 cups morning and night UTD nexgard spectra evrey 3 months.Bear - RC dry food.EDDU normal. No concerns for Bear.Examination: Friendly, BARPink moist MM, good refillOral: no dental disease present, mild tartar canines and carnassialsEars, eyes: normalCardioresp: HR120 no murmur audible, clear lung soundsAbdomen: no abnormalities palpatedMSK: normalSkin: normal skin and coatLaboratory: Assessment: Healthy to vaccinateC4 trienniel + BB oralDiscussed transitioning protein source from beef to a different protein, as the change from chicken puppy food to beef adult food triggered gastrointestinal issues. Discussed probiotics as an option.If there is no benefit on a different kibble, then do proper food trial on hypoallergenic diet.DDX food allergy, food sensitivity.Treatment: Consent has been given by the client to proceed with this treatment  -  YesPlan:Booster in1 year--- 18/02/2025 08:44:39 AM JBE:Vaccinations - Resolved - General follow up sent(jkb)    Vital Signs    

Reason: History: Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:    Vital Signs