C09971736 / invoice 10000

Reason: Vax. MtAppointment Notes: Overdue reminders  ------- Sms reply: YHistory: Due for c7 vac.UTd nexgard spectra.Would like to give tapewormer today.No current meds.Has a little lump behind her ear which she has had since she was a pup doesn't bother her.May have found another small lump on top of her bodySometimes doesn't eat her food and occassionally has a V+, possible once a month, could have a sensitive tummy.Current diet a variety of food- has had lyca, cooked meat.Chicken, raw dog meat.Could have some anxiety, gets phantom pregnanacy.Examination: BAR, good cond.Ears - small dermal mass on back of right pinna.Other dermal masses- small on on rt side of back, small one caudal right elbow.Otherwise integument normalChest ausc no murmur, clear.Oral- pink mm, very mild calculus.Abdo palp nsf.Lnn, msk normalLaboratory: Assessment: Healthy.Small dermal masses unlikely to be on consequence.Occassional inappetence and V+- could be combo of anxiety, poss stomach, pancreatic sensitivity,Treatment: Vac c4 ( 2527038A  13/11/26) and c2i ( 3291024  13/11/26) sc togetherOral bronchishield 52450346B  9/10/26Given tapeworm tabletNail trim doneConsent has been given by the client to proceed with this treatment  -  Yes/No Plan:Next vac 12 mo.Rec stick to more consistent diet eg low fat I/D or prime 100 low fat and see if appetite, V+ improves.    Vital Signs    Weight: 8.68;       HeartRate: 160;