C09974031 / invoice 10000

TEAM BASEDNurse initials: LMReason: GHC, defecating fine but eating non edible things (rubber bands, whole chilli, insects, anything he finds on the floor) Who is presenting the patient today?: Yvonne Microchip: YPet insurance: YHistory:- Current medications: Revolution for flea prevention- Vomiting episodes over past 6 months when living in townhouse with carpeted stairs, multiple times daily, resolved with diet change and house change to wood floors, had weight loss but now gained again- Eating and drinking: currently eating and drinking normally, but sometimes eating random things- Toileting: normal- Dental concerns noted by owner, a bit smelly breath- Occasional black dots on fur around eyes, sometimes rubbingExam:Behaviour: friendly but anxious, ok for PEMentation: BAROral Exam: gingivitis upper left particularly ++, mild right side, DG: 2/4, MMs: pink, moist, CRT<2Ears: WNLEyes: WNL.Cardioresp auscultation: WNL, HR: 140, RR: 32GI: abdo palp WNLUrogenital: WNLSkin: WNL, very small <1mm black dots around R eye, suspect dried skin flaking.Lymph nodes: WNLMusculoskeletal: WNLNeuro: WNLAssessment:- Mild/mod dental disease- Possible allergic dermatitis around R eye with secondary scratching. Treatment:- Owner has consented to treatment: yesPlan:- Dental procedure: full general anaesthetic with dental radiographs, probing and cleaning recommended to address gingivitis and inflammation, will send estimate- Staged approach if unexpected findings on radiographs requiring extractions- Diet transition: gradual change back to dental diet over one week if desired.- Consider microchip feeder for more frequent smaller meals.- Eye skin irritation: O to monitor for now- Sun exposure: monitor pink points on ears and nose for crusting or changes, seek veterinary attention if noted- Vaccination: up to date until mid-year    Vital Signs    Weight: 5.6;       BodyScore: 5.5;       

Appointment Notes: Vaccinations - LM  ------- Sms reply: YTEAM BASEDNurse initials: LM Reason: Vaccination, No other concerns, EDUD well now and no other concerns since prior visit.History: Who is presenting the patient today?: Kai Microchip: Y Pet insurance: Woolworths  WW22155094Vaccinations: Due for F3 Preventatives: Nexgard spectra done 05/06/25 Current diet: Hills SC dental diet 3x time Current meds if any?: No - O happy for vacc todayExamination: Behaviour: friendlyMentation: BAROral Exam: WNL, DG: 1.5/4, MMs: pink, moist, CRT<2Ears: WNLEyes: WNLGI: abdo palp WNL, soft and comfortableSkin: WNLAssess ment: OK to vaccinateTreatment: Consent has been given by the client to proceed with this treatment  -  YesPlan:FeloVax3 3254006 01/05/2026Revisit for booster in 1yr.- Discussed dental care and tooth brushing, recommend in 6m GHC and/or dental--- 20/06/2025 10:49:53 AM CDT:Vaccinations - Resolved - follow up sent    Vital Signs    MMColour: Pink;       Weight: 5.3;       BodyScore: 6;       DentalGrade: 1.5;       RespirationRate: 32;       CRT: <2;       

Appointment Notes: Booked Online: 05/06/2025 10:17:55 AMBooking Type: Health CheckBooking Notes: Recently Poo sticky Owner Name: Kai Chun TamOwner Email: cajun1003@gmail.comOwner Mobile Number: 0426631003Pet Name: PeanutPet Species: CatWeb BookingClient name: TamContact number: 0426631003Email address: cajun1003@gmail.comPatient name: PeanutHistory: - Main concern: in the last few days string like material in faeces, going to toilet but then poo kind of sticking/trailing behind- Last prevention in March, otherwise indoor only, EDUD normally, - Diet: hills SC dental diet 3x a day - Few weeks ago one vomit/hairball but otherwise well- O has not string toys / nothing at home string like?- O showed photo of string like material from faeces, very small 1-2mm like x up to >5cm approx linear soft stringExamination: Behaviour: friendly but anxiousMentation: BAROral Exam: WNL, DG: 1.5/4, MMs: pink, moist, CRT<2Ears: WNLEyes: WNLCardioresp auscultation: WNL, HR: 160, RR: 40GI: abdo palp WNL, soft and comfortable. Not tolerating rectal check, rolling around and stressingUrogenital: WNLSkin: WNLLymph nodes: WNLMusculoskeletal: WNLNeuro: WNLAssessment: - DDx parasites vs unknown FB vs other/dietaryTreatment: Consent has been given by the client to proceed with this treatment  -  Yes Plan: If otherwise well, revisit in 2w for vaccs- Discussed DDx. Nexgard applied in consult. O can send of faecal sample for testing INI. Discussed possibility of FB and risks of linear FB. O to ensure EDUD normally, no vomiting/diarr. Otherwise ok to trial prokolin in diet, dispensed--- 06/06/2025 11:02:57 AM CDT:Examinations - Resolved - follow up sent    Vital Signs    MMColour: Pink;       Weight: 5.3;       HeartRate: 160;       BodyScore: 6;       DentalGrade: 1.5;       RespirationRate: 40;       CRT: <2;