C09974453 / invoice 10000

Reason: Gasping Sound Overnight IntermittentlyAppointment Notes: May have increased resp effort, owner unsure. Gasp sound every hour or so. Pink gums, still bright, playful, eating. Nothing stuck in mouth as far as O can see. Adv if any laboured breathing in the meantime to go straight to emergency.History: Vacc 12wk inactivated F3 8 & 12wksYesterday every half an hour he is making a head motion like trying to swallow or cough something upMeow at home was a bit rapsySnuffly sound as well, after breakfast and while eating making gurgly soundsHas been sneezing since BIB - want' sure if mroe dust.  No change in itensity of soundsAlso some reverse sneezingNo coughingEating and playing normallyDiet = wet in am RCW and mixed with warmed up kitten milk and whiskas kittenLunch boiled chicken and sometimtes some dry RCW/black hawkEats quite alotDinner = little raw beefExamine:No disch from the eyes or noseNo oral ulcersImmature dentition in the mouth, mm pink, mm moistHS ok, Resp sounds okNo snuffling now but could see on the videos and for the short periods befre the exam there was some sl restricted breathing and snuffling along with a minor sneeze.RRR in a video appears to be about 25Abdo palp okWell grown for ageCoat good aside from some hair loss on the haired side of the Lt ear - woods negative - suspect this has come off at the time of tattoing him as looks like he was castrated recently as tatto is fresh.  No scabbing or scaling of the skin on the earTemp normalB&A and runnign around, able to crawl out of caeAssessment: Suspect URTI with phlegm and disch coming down back of nose to pharyx > gurgling and sneezing.  Visdoe also shows a bit f exaggerated swalow which could be difficulty swallowing the phlegm or swollen tonsils?Plan: Start a course of doxy and see how he goesIf any issues with laboured breathing, off food, reduced activity/energy etc then to rv soonerOtherwsie booster due in 2weeks.  Given kitten pack to look through    Vital Signs    Weight: 1.57;