C09971635 / invoice 10000

Reason: Proheart & Bravecto Quantum. MDAppointment Notes: Overdue remindersHistory: Was cratching at crate o/n, and took her out, was a long time going to the toilet, needed to go out again 10 minutes later. Fiund out this morning that bowel motions were bloody and V+ o/n in the back yard.Had to go out 3 times o/n.Still bright and active.Latest poo this morning around 7am was bloody.No further V+ this morning.Not fed this morning.No recent diet changes.Piossibility of dietary indiscretion as sh " likes to eat everything".4-5 years ago had Haemorrghagic D_ and had to go to ARH, since then no problems.On a Rc diet.Plan was for today to get Proheart and BQ injections.Bravecto oral was last given Dec 3 so due now.Examination: BAR, good cond.Ears, eyes normal.Integument- salivary staining of feet, licks then sometimes.Oral- pink moist mm, normal crt, clean tteh.Lnn normalChest ausc- slow Hr for small dg but reg, no murmur, clearAbdo palp comfortyable no masses.Sc mass on rt side chest, prev Dx as lipoma?Normothermic.Msk appears normalRectal- no faeces felt, no bloods, anal gland mod full, not expressed.Ate treats in consult.Laboratory: Assessment: Rather not do injs today as a bit unwell.Recent agstroi enteritisi with haemorrhagic arge bowel D+, but appears cliniclaly well on presnetation.Treatment: Prokolin 3ml bidSimpartica trio tablet.Consent has been given by the client to proceed with this treatment  -  Yes/Plan:Feed low fat i/d.Come back for PH and BQ injs  when better-  has one o worth of prev in simp trio.If V+ the trio then come back for another one.If V+ persist then r/c,    Vital Signs    Weight: 10.61;       HeartRate: 88;       Temperature: 38.4;