C09971753 / invoice 10000

Annual health Check and C5 Vaccination Buster is a 6yr 2mo MN Bull Arab who presented today for annual health check and vaccinationEDDU normally, no V+/D+/coughing/sneezingOs have no concernsLovely cuddly boySubjectiveVaccination history: Due C5Flea/Tick/Mite prevention:Intestinal worming: Milpro 3 monthlyPrevious medical Problems: Diet: Meals For Mutts + home cooked mine and veggies (1 cup each)Current medications / dosage:Current problems or issues: ObjectiveDental score (0->4): 0Capillary refill: <2Mucous membrane colour: Pink RR: WNLHR: WNLHeart auscultation: No murmur or arrhythmia on auscultationLung sounds: Clear bilaterallyLymph Nodes: Submandibular, prescapular & popliteal LNs palpate normal size and consistencySkin: Clear skin & shiny coat - some erythema under tail but just irritation during excitementEyes: Bilaterally clear & brightEars: Bilaterally cleanUrogenital System: NADMusculoskeletal: NADAssessmentBuster is fit for vaccination todayPlanPlanning on trip to mainland in November; will contact us for MilproTreatment today: 1. Vaccination C5(C5 oral)Client CommunicationsPost vaccination advice- watch for any lethargy over next 24-48 hrs. Occasionally firm swelling noted at the injection site; if painful or persistent, please contact the clinic. True allergic reactions can occur to vaccinations on the rare occasion. In dogs these usually show with swelling and puffiness of the face and eyelids, sometimes with itchiness too. If you see any signs please contact the clinic immediately.

History:Core presenting problem:noticed some skin lesions around groin areautd with bravecto as ectoparasite controlnot itchiness anywhere elseno v/dGeneral Examination: General oral: underbiteCurrent medication:noneDifferential Diagnoses:atopy allergyTreatment/Plan:continue with iodine washgiven neocort to apply to affected areaapoquel given first dose in consult to reduce itchiness

History: Flea/tick/worming control:DUEDiet type/amount/schedule: MixedUTD with vaccinations:DueEDDU:Normally, no diarrhoea, vomiting, coughing or PU/PDMedications/supplements: NilAny/main issues:NilClinical Exam: Demeanor: BARTemp:NABCS:6/9MM and CRT: Pale pink and CRT <2SHydration: WNLsOral:NADTeeth:NADCardiovascular: No arrythmias or murmurs notedRespiratory: Normal bronchovesicular soundsAbdominal: Soft and non-painful when palpating, no obvious masses or fluid wave noticedUrogenital: WNLsMusculoskeletal:NADNeurological: WNLsIntegument/lumps: WNLsLymph nodes: WNLsRectal:NAEars: WNLsEyes:WNLsDiagnosis:DDX:-Fit for vaccinationTreatment:C4 SC and oral KC, C5 in 1 year. Headed to the mainland for 6 months, discussed worming and flea/tick prevention.Post vaccination advice- watch for any lethargy over next 24-48 hrs. Occasionally firm swelling noted at the injection site; if painful or persistent, please contact the clinic. True allergic reactions can occur to vaccinations on the rare occasion. In dogs these usually show with swelling and puffiness of the face and eyelids, sometimes with itchiness too. If you see any signs please contact the clinic immediately.