C09974840 / invoice 10000

Reason: RecheckVital Signs: - Temp: Normal= 38.4  - Respiratory Rate: Good, slowHistory: - Pre-kennel check and vaccination - Pregabalin given PRN every couple of days when screaming episodes occur; helps but not immediately, sometimes screams more before settling - Previous inappetence when hiding medication in food - now resolved - Previous halitosis - resolved with antibiotics  - Drinking water well - Stools normal - No scootingPhysical Exam Findings: - Behaviour: GoodOral Cavity: - Significant tartar buildup - Gums suffering with buildup - Dental recommended on returnLymph Nodes: - sub mand - Slightly enlarged, soft; likely secondary to oral infectionRespiratory: - Crackly lungs, stable, not worsened- chronic - suspect chronic bronchitis  - Respiration rate good RR = 16 , no panting Abdomen: - NAD though always tense due to anxiety Diagnostic Results: - None performedAssessment: - Problem list: 1. Dental disease with tartar buildup and gingival inflammation 2. Oral infection 3. Reactive lymphadenopathy secondary to oral infection 4. Chronic respiratory changes - stablePlan: - Antibiotic paste course - start Tuesday morning, complete by 20th - Continue pregabalin PRN though explained that it should be given twice daily - Dental procedure planned for May on return - Chest X-ray to be considered at dental visitCommunications: - Discussed pregabalin works as preventative, takes time to absorb and reach brain - Discussed lymph nodes likely reactive to oral infection - Discussed dental procedure timing - Vaccination certificate provided for kennel cough    Vital Signs    Weight: 3.7;