C09973759 / invoice 10000

Reason: Drinking More, PantingAppointment Notes: doesn't seem to be bothering or affecting him, but O's daughter noticed when she was looking after him. in wtih Suzi. lwPrevious known history: 05/2019: GIT dysfunction. Likely acute and probably self-resolving 04/2021: Diarrhoea- GIT primary (hx of exposure to sick dogs and also rabbits/foxes) vs secondary 04/2021: 1) diarrhoea resolving but not resolved03/2022: Injury at grooming leading to inflammation vs very mild GIT/pancreatitis? Hepatopathy vs transient change10/2022: Mild dental dzDermal mass - Caloric excess 01/2023: Seborrhoea adenoma Groomer Anxiety - aggressionTeeth clean about 4mths ago at Gembrook Vets, bloods high in something related to protein? Vacc 3/10/25 at Gembrook Vets Current Medications & Dose: History (from Owner): unremarkable unless stated  Appetite: good   Diet: dry food RC mini schnauzer and raw carrots, chicken & rice   Drinking: increased +++   Energy Levels:  Urine:  Faeces:  Vaccination Status: vacc elsewhere   Parasite control:  How have they been since last visit?Panting at rest, progressed over hot weather months No V+ Eating well No coughing Examine: unremarkable unless stated  Behavioural:  Mentation:   Gait:Hydration Status: unremarkable unless stated   MM Moistness/Eye Appearance/Skin Turgor-Physical Exam (See Vital Signs):   unremarkable unless stated  Thoracic auscultation:  Pulse rate/quality:   Abdominal palpation:  Eyes/Ears/Nose/Mouth/Teeth:  Skin/lymph nodes:  Musculoskeletal:  Reproductive:Assessment:Treatment (See invoice items and client information): Plan (See medication labels, reminders and instructions):    Vital Signs    Weight: 8.7;       MMColour: pink;       HeartRate: 96;       BodyScore: 6.5;       DentalGrade: 1;       RespirationRate: 36;       CRT: 1;       

Reason: DC Revisit & Lump CheckAppointment Notes: Overdue reminders, in w' Maureen, je  ------- Sms reply: YHistory (from Owner): Unremarkable unless stated3 x GI dysfunction episodes seen by us since 2019 - Lump R flank noticed 5 months ago, 4 mm diam x 3 mm high dermal mass R lateral caudal thorax - 3 months ago - groomer says its a "schnauzer lump " and will go away by itself  Appetite/Diet: Eating has been good. Diet has changed, is now being fed half RC Schnuazer mix and half of the satiety. - Had diarrhoea and constipation on just the satiety alone about 1 month ago.  Drinking/Urination: Drinking has been good. Urination no issues  Vomiting/Diarrhoea:  No issues with defecation. No vomiting.  Parasite control: Maureen thinks lump is getting smaller. Groomer suggested sedations for grooming, Maureen is scared its going to be too much for him long term every 6 weeks. Examine: Unremarkable unless stated  Behavioral: pretty good but muzzled for FNA - no problems   Mentation:   Gait:Hydration Status:      MM Moistness/Eye Appearance/Skin Turgor-Physical Exam (See Vital Signs):  Unremarkable unless stated   Thoracic auscultation:  Pulse rate/quality:   Abdominal palpation:  Eyes/Ears/Nose/Mouth/Teeth: mild - moderate pre/molar calc  Skin/lymph nodes: R flank dermal mass 1 cm diam x 0.8 cm high  Musculoskeletal:  Reproductive:Laboratory ( See attachments): FNNA FLANK MASS: cream inspissated content with proteinaceous background and few keratinocytesAssessment:Seborrhoea adenoma Groomer Anxiety - agressionTreatment (See invoice items and client information): Hoem PO ;Traz 100 mg PRN, GABA 200 mg PRNPlan (See medication labels, reminders and instructions):We will call you in 2 months time to book Fritz in for a Dental Scale and polish.Keep an eye out for any pain with his lump.Test his Chil Pill dose prior to going to the groomeres and double dose if he is not obviously under the influence--- 16/03/2023 12:00:12 PM LW:Dental / Oral - Dental - Estimate starts at $1000 plus around $100 per root extraction ( unlikely) thx DC---10/03/2023 14:23:42 PM TLJ Deferred: No Answer on mobile sent SMS---11/03/2023 10:45:52 AM JAE Deferred: Resolved - Spoke to MaureenIs trying to sort out her finances at present, cant book now. Once is ready to book, she will call us to arrange - did not wish for another reminder. Meds for groomers are going well.    Vital Signs    Weight: 9.2;       MMColour: pink, moist;       Temperature: 37.8;       HeartRate: 100;       BodyScore: 6;       DentalGrade: 2;       RespirationRate: panting;       PainScore: 1;       CRT: <2s;       

--- 13/10/2022 13:34:32 ZSLump is on the right side of the backReason: VaccinationAppointment Notes: Overdue remindersHistory (from Owner): Unremarkable unless stated3 x GI dysfunction episodes seen by us since 2019 - Lump R flank noticed 2 months ago - groomer says its a "schnauzer lump " and will go away by itself  Appetite/Diet: Normal - RC Schnauzer and carrots  Drinking/Urination: Drinking a lot sometimes and holding  Vomiting/Diarrhoea: No D+ or v+  Parasite control: Nexguard spectra monthlyExamine: Unremarkable unless stated  Behavioral: Initially tense but loves the lick mat. Bit growly when examining mouth  Mentation:   Gait:Hydration Status:      MM Moistness/Eye Appearance/Skin Turgor-Physical Exam (See Vital Signs):Unremarkable unless stated   Overweight  Thoracic auscultation:  Pulse rate/quality:   Abdominal palpation:  Eyes/Ears/Nose/Mouth/Teeth: Mild - moderate pre/molar calc  Skin/lymph nodes: 4 mm diam x 3 mm high dermal mass R lateral caudal thorax  Musculoskeletal:  Reproductive:Assessment:Mild dental dzDermal mass - Caloric excess Treatment (See invoice items and client information): SC; PiBB as per manufHOME PO: Popantel q 3 mo.Plan (See medication labels, reminders and instructions):Please slowly change Fritz's diet onto Royal Canin Satiety fed to a target weight of 8.5 kg along with his carrots.We will contact you to bring Fritz in for a lump test in 2 months time if it hasn-t disappeared by then.Dr David will contact with his blood results in a few days--- 13/10/2022 17:55:00 DC:Laboratory ( See attachments): CBC: UnremarkableBIOCHEM Clip 6 ): UnremarkableAssessment: Resolved mild hepatopathyFollow Up (Ph call to owner): Maureen texted above--- 16/12/2022 11:55:21 AM JAE:Health Assessment - Book in for DC RV and FNA if lump still on Fritz's side. ThxResolved - Booked    Vital Signs    Weight: 9.9;       MMColour: pink, moist;       HeartRate: 100;       BodyScore: 7;       DentalGrade: 1-2;       RespirationRate: 28;       PainScore: 0;       CRT: <2s;