C09971445 / invoice 10000

Appointment Reason: Dental checkHistory:  Owners have not been cleaning the teeth at homeFinding it difficult to get to the caudal most teethExamination: Tartar +Gingivitis + (just starting)Still grade 1Recheck again in 3 months timeHave advised we may need to consider another scale and polish at that time Treatment:Bilaterally the anal glands are both very fullPerianal inflammation presentExpressed both anal glands --> large volume of dischargeNeocort to perianal skin bid to reduce inflammation  Plan:Recheck anal glands in 6 weeksReset dental check reminder for 3 months time ** May require 6 monthly dentalsSubjective:Medications: Preventatives:Dont forget to discuss Bravecto Quantum Diet: Meds: Pet Insurance: Objective:MM colour  , CRT =  secsPalpable LN's within normal size limits and non painful to palpateDental exam: HR = No audible murmurs or arrhythmiasPulses are strong and synchronousRR = Chest sounds are clear No pain or palpable abnormalities on abdominal palpation Eyes:No inflammation or dischargeEars:No inflammation or dischargeNo otoscopic examination performedSkin:No inflammationTemp:Neuromuscular system: Normal gaitNo ataxia or proprioceptive deficits Assessment:Treatment:Plan:    Vital Signs    Weight: 5.8;       MMColour: Pink;       RespirationRate: 36;       HeartRate: 164;       Temperature: 39.3;       Gingivitis: 1;       Calculus: 1;       BodyScore: 6;       DentalGrade: 1;       CRT: 1-2;