C09973991 / invoice 10000

Reason: Vac, Blood Test NQGAP ONLY HISTORYFirst clinical signs - has lost 700g since December, lump under right side chin noticed 1 week ago, owner very concerned as had episode of thrombocytopaenia late last yearSummary - nad on peDiagnosis - enlargement of right submandibular ln and mild bilateral popliteal ln enlargementTreatment - repeat CBC todaySend submandibular ln aspirates x3 and 1x popliteal ln aspirate for cytologyAwait resultsSo active ##No pu/pdLots of treats--- 02/03/2026 13:47:13 SM:Canine Cough Vaccine - Skipped on 02/01/2026Diet: Preventative healthcare:Vacc:HWP:IW:Flea/tick:HISTORY:O's presenting complaint(s): Examine:PHYSICAL EXAMINATION: BCS: ## / 9MCS: normal muscle mass #Mentation: alert and responsiveEYES: NAD - clear, no noted discharge #EARS: NAD - clear, no discharge, odour, erythema#NOSE: NAD - clear, no discharge, symmetrical, no lesions #ORAL: NAD - normal pink and moist mm, normal CRT, healthy teeth & gums#CARDIOVASCULAR - NAD - no murmur or arrhythmia auscultated, pulse pressures normal and synchronous#RESPIRATORY: NAD - thoracic auscultation clear sounds bilaterally, respiratory effort normal#ABDOMINAL: NAD - soft pliable, no detectable pain or palpable abnormalities#NEURO: NAD - neurologically no significant findings, no cranial nerve or proprioceptive deficits/gait#MUSCULOSKELETAL: NAD - ambulating with normal gait & posture, no pain on palpation of joints, appropriate ROM#RECTAL: not performed#REPRODUCTIVE: externally normal #INTEGUMENT: NAD - clear coat and skin #LYMPH NODES: NAD - peripheral nodes palpate normal #Assessment:Plan:    Vital Signs    Weight: 4.5;