C09976281 / invoice 10000

Reason: Vacc NZReason:  vacc   History: Brought in by: David Diet: Worming: Heartworm:Fleas: Ticks:  Medications:  nione Other:RRR at home 16/ min but noticing reduced exercise tolerance Vaccines/ other medications due or near due:Examine: 1. BCS:   3  /5    IDEAL WEIGHT      KG 2. Integument: perianal and ventral tail skin is inflammed and hyperpigmented. Scooting 3. Musculoskeletal: nad 4. Teeth: C1 canines 5. Eyes: cataract formation bilaterally 6. Ears: nad 7. Lymph Nodes: nad 8. Cardiovascular/Circulatory:   HR 116 sinus arhythmia g3/69. Respiratory/Pulmonary:  mildly increased tracheal sensitivity, lungs clear . No clinical coughing 10. Uro-genital: nad 11. Gastrointestinal: nad ->11a Anal Sacs: EAG - not too full. Likely more skin related 12. Behaviour: 13. Other: Treatment: Vacc Durramune C3 due in 3 years Vacc Bronchshield III intranasal due in 1 year MSD (Nobivac) Lepto 2 discussed - declined Proheart SR12 inj   0.27  mls s/c  Worming:Flea/Tick: Bravecto Quantum inj         mls s/cClean perineal skin with chlorhex and apply panapex bid 10 days Plan: R/c at cardiologist in april Panapex on perianal skin - if persistently itchy after cleaning and treating - may need cytopoint Reminders  Updated: YES/NO    Vital Signs    Weight: 5.3;       Temperature: 38.8;