C09971585 / invoice 10000

Reason: GAPAppointment Notes: Paws App Details:Booking Type: Unwell Pet - 1 Concern $124Booking Notes: Nancy has had squidgy poos for a few days and this morning she vomited a few times. Bile vomits.History:Clinical signs/progression:friday has runny feces and sludges since SundayNo blood and mucusReduced appetiteDrinking ok Building works for few weeksFew mushroom at backyeardDidn't walk yesterday and Sig hx: noneCurrent meds: nonneAppetite & diet: EDUD ok Dry food RC and dog rolll Prev Care UTD/products?: Objective:Vital signs recorded to LEFT columnTemperament: friendlyOphtho: Otic: Oral: Nose: CV, pulses: Resp/Chest:  U/G: Abdo palp: Neuro: Musculoskel: Integ: Hydration: Other findings: Problem list: Assessment: Plan: Treatment: Progress notes: Client Comms: +/- Prognosis, tx declinations+/- record conditions/meds in ALLERGIES tabDelete prompts as necessaryRecommended a Faecal test is performed to check for GI parasites.Kit provided. Fee charged ...O to drop off SampleFaecal parasite RISK ASSESSMENT DOGLess than 2 negative Faecal test results?: <12 months of age: *Dementia, owner immunocompromised: *Patient immunocompromised: *Diarrhoea at home (human or pet): Eat grass: Corporophagic: Cats at home/in yard: Raw meat/bones: Unknown water sources: Young children: Hunting- birds, mice, rats: Rural areas or farms: 							*Dog Daycare: Walks, dog parks, beach: Off leash/out of sight on walks: Risk assessment = Repeat testing interval: ^Update in Custom Fields		- Any *= high risk, 3mo testing interval- No*, 0-4= low risk-  12mo- No*, 4-8= moderate risk, 6mo- No*, 8-12 = high risk, 3 moFirst Clinical Signs:2 day agoSummary:started with diarrhoea since Friday and got worse on Saturday. Eating drinking normal. However vomited up this monday morning. Started on probiotics , send faecal sample to labDx:gastroenteritisTx:probiotics oral , anti nauseas injection and bland diet    Vital Signs    MMColour: pink;       Temperature: 38.4;       Weight: 9.98;       HeartRate: 110;       BodyScore: 5;       DentalGrade: 0;       RespirationRate: 24;       CRT: 1sec;       

Reason: VaccinationAppointment Notes: mawHistory:Going well, really smart and doing training.EDUF normallyHad 1 vomit but otherwise fine, think ate some grass.No diarrhoea.Sig hx: Overbite, concern about weight shifting sitting.Current meds: nil Appetite & diet: Commercial puppy food Objective:Vital signs recorded to LEFT columnTemperament: BAR, very cute - takes treats (likes liver)  Ophtho: clear Otic: clean Oral: decid teeth present, minor overbite Nose: nad CV, pulses: clear ausc, no murmur/arrythmia  Resp/Chest:  clear ausc U/G: nad Abdo palp: nad  Neuro: nad Musculoskel: No pain on hip joint manipulation, however sitting on side of leg still as prviously noted   Integ: nad Hydration: Other findings: Problem list: Assessment: Fit and healthy for vaccinationPlan: Had another discussion about hip xrays - O not going ahead currently. Will monitor for any change in mobility/discomofrt.Milestone check at 6 months, did mention considering desexing delaying until atleast 12 months.Treatment: C4 given SQ    Vital Signs    Weight: 7.5;       

Reason: Puppy ProheartAppointment Notes: mawPuppy Proheart Injection Consult completed by: SMYAny V+ or D+ in the past 3 days? Yes, one small vomit when arrived at clinic, checked with Maddi - okd to give if still BAR. No - continueYES - defer injection and recommend Vet consult if required.< 12wks - defer until 12wk> 14wks - set HWBT reminder for 4 months - discuss with O.Has ANY HWP been used to date? NoDiscuss that no other HWP required BUT safe to use.Flea Tx? UTDComplete TPR - temperature not neccessary.HR 150, MM pink <2, RR 30, normal effort. Dose 1ml per 20kg. Ensure product drawn from 'mini-spike' in Sr12 bottle, place 19G 5/8 needle administer (this will prevent blockage on injection).Administer to Patient Subcutaneously in scruff in between shoulder blades.0.32mls given. Please check and ensure Annual Vaccination has been prebooked for next year (first adult C5).Please ensure 16 week DHP booster has been booked, and verbally confirm/write down appt for owner.O reported she has recently been laying in some ferns at home and has a rash on her stomach. Mild rash present, not red or inflammed, no broken skin. O will be removing ferns soon. Advised can use an oateal shampoo and allergy wipes and may need to use back feet bootys if scrathching. Advised if becomes red, itchy or inflammed then to please book an appointment with vet. SMY.    Vital Signs    Weight: 6.4;