C09975063 / invoice 10000

Reason: Check teethAppointment Notes: AMHistory: Here to check teeth + assess OA pain.EDUD subjectively normal.Sleeping well.No current meds/supps.Out of breath a bit, a bit sore (thinking OA).Due for vacc too (can do today as well).Examination: Mentation: BARHydration status (%): hydration clinically adequateEyes: slightly cloudy eyes, no discharge or blepharospasm, menace in tact, suspect early cataractsEars: No discharge or erythema of ears bilaterallyOral: Pink MM, CRT <2, dental grade 3 / 4 (Grade 3/4 upper left carnassial and pre-molar - require removal, other teeth Grade 1/4 - just require S+P).Cardiovascular: HR and rhythm normal, no murmur detectedRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeAbdominal: no detectable pain on abdominal palpation - comfortableNeurological: neurologically no significant findingsIntegument: Clean coat, no erythema or alopecia. Musculoskeletal: ambulating sound x4; no neck or spinal pain, sore on palpation over hips + reduced ROM HL's.Lymph Nodes: NSFUrinary: NSFReproductive: NSFRectal: Not performedLaboratory: TAHP sent to IDEXX.Assessment: Dental disease (requires extractions)Mild OA painFit to vaccTreatment: Consent has been given by the client to proceed with this treatment  -  YesPlan:KC vacc given SC + orally in consult.Bloods sent to IDEXX - will phone with results tomorrow.If all clear recommend dental to remove diseased teeth + clean the others.Can start meloxicam if bloods okay, vs cartrophen course. Given handout.    Vital Signs    MMColour: pink;       Temperature: not taken;       HeartRate: 92;       BodyScore: 5;       DentalGrade: 3;       RespirationRate: pant;       CRT: <2;