C09973067 / invoice 10000

Reason: New PuppyHistory:O has had him for 2 weeksChewing underneath the couch as o cannot get to him thereHas a 12yr old retriever at home, separated at night initially, getting on well nowNo issues or concernsToilet training going wellNo vomiting or diarrhoea, Vomited once in the car initially but not sinceLoves food - giving cooked chicken or beef or mince and veg, and yogurt and cottage cheese, dry biscuits royal canine and black hawkHas had simperica to give this weekHas had first vacc: C3 19/01/26Not keen on puppy school, will do her own trainingExamination:COAT/SKIN: healthyEYES/EARS: nad eyes. Tiny amount of waxy in both ears, nil inflam or signs of infectionMOUTH/TEETH: good dental conformation, deciduous dentition presentHEART: HR 104, no murmur or arrythmia,T: 38.4LUNGS: clear, no abnormal soundsABDOMEN/DIGESTIVE/URINARY: soft and comfortable, no abnormaltiies palpable,  no herniaCNS/MUSCULOSKELETAL: nad, good ROM all 4 limbs, gait comfortblae in consultPERIPHERAL LYMPH NODES: not enlargedBODY CONDITION SCORE: 5/9REPRODUCTIVE: both testicles presentDEW CLAWS:nil on hind pawsUMBILICAL HERNIA: noOTHER: nadSOFT PALATE/TONSILS: NORMALAssessment:Fit for second vaccProtech C4 Sq + Bronchishield I Intra-oralC4 5257038B exp 27/01/27BB 5245060A exp 14/04/27O to give simperica at home and discussed risks of ticks and tick paralysisRecommend ear cleaning once a week to maintain clean ears as will oherwise be more prone to ear infections3rd vacc in one monthAdvised or risks of parvo and keeping away from public spaces/other dogs until 2 weeks after the 3rd vaccOkay to play with other vaccinated dogsDesexing at >1yr old    Vital Signs