C09977005 / invoice 10000

Reason: Lump On Inside Of Cheek + Hairloss Around EyesHistory:Swelling on Left Upper Lip - no visible changes on skin side or gum side - no painSlight thinning of hairs around eyes - no rubbingLick mat - previously used - but starting chewing it - uses cardboard now instead (safer)Bamboo sticks that's jumped the fence line - at the dog park - has chewed onCarrots given at home. Cow's ears alsoLast dose of 21st Feb - MilbemaxLast dose of 4th Feb - Bravecto tabletExamination:  1. Demeanour: BAR  2. Heart: no heart murmur  3. Lungs: NAD  4. Eyes: NAD - slight thinning of hair on medial corners of eyes  5. Ears: NAD  6. Nose: NAD  7. Oral Cavity: All adult teeth nowPreviously - Left upper deciduous canine tooth - 2-mm missing from tip of crown - mild blood, not dripping  8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: No umbilical hernia, no inguinal hernias   12. Rectal: good anal tone  13. Genital: NAD - both testes descended  14. Skin and Coat: 3.3.26 Left upper lip - 2-cm oval shaped firm swelling (non-painful; non-mobile)  - no changes in texture of either the skin (whiskers) side or the mucosa side  15. Musculoskeletal/Gait: no hind dew claws  16. Nervous System: NAD  17. Behaviour: goodNAD = no abnormalities detectedAssessment:Entire male11.11.25 2nd puppy vaccination C7 (had 1st vaccine with breeders as C3), Drontal26.11.25 3rd puppy vaccination C3 + C2i / Drontal chewable caused diarrhea last time - trial Drontal tablet16.12.25 Chipped upper left deciduous canine tooth3.3.26 Swelling at left upper lip - history of chewing on things - ?Abscess - consider monitoring, consider antibiotic trial, consider FNA cytology at time of desexingTreatment:Noroclav 2 week trial - as requestedLikely would need sedation - as lump on left upper lipOr do at time of desexingClient Communication: - Consider cytology on the lump for further diagnosis, recheck $75 and in house cytology $70 or external laboratory cytology $327. The cytology results may indicate infection, inflammation, cancer or an undiagnostic sample. Further testing and/or treatment may be required, including, tissue biopsy, full blood tests, chest radiographs, specialist abdominal ultrasound, surgical removal, chemotherapy, radiation, or antibiotics.Plan: 1. Yearly C7 vaccination due 11.11.26Avoid Drontal chewable - as caused diarrhea2. Monthly Milbemax – controls roundworm, hookworm, whipworm, tapeworm and heartworm.3. Monthly flea control 4. Tick prevention – Monthly Nexgard or 3 monthly Bravecto. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.5. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.6. Large Breed Puppies:- Feed large breed puppy food until fully grown, approx 1.5-2 years of age – e.g. Hills- To prevent bloat (gastric dilation and volvulus GDV) - consider gastropexy surgery, an extra $700 if done with a desexing. Feed two meals a day forever, and train to rest after eating. - Read VIN handout on Bloat, the mother of all emergencies.- The growth plates of large breed dogs will close later than for a small breed dog. Avoid jumping or agility until fully grown, to avoid growth plate injuries.7. Desex at 5-5.5 months of age to reduce the risk of reproductive cancers. Consider delaying the desexing until fully grown at 1-2 years of age, to allow the growth plates to close, which may decrease the risk of growth plate injuries.NOTE - We will amend the Pet Registry to delay the desexing due to large breed, so that you are not charged the late desexing fee by the Council.Also consider preanaesthetic blood tests and intravenous fluids to ensure a safer anaesthetic.We honour any desexing voucher from any other veterinary hospital or pet store.8. Microchip:- Microchip registration - Register online before 12 weeks of age at www.petregistry.nsw.gov.au.- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.9. Grooming - Touch the face and feet a lot, this allows future grooming to be easily performed.10. Consider Pet Insurance for your pet.11. Chipped tooth- Monitor for swelling and discharge. Recheck if concerned- Adult teeth will start to appear at 6 to 7 months of age12. Lump at left upper lip- Trial 2-week antibiotic course - Noroclav 500 mg - give orally 3/4 tablet TWICE a day for 14 days- Consider cytology on the lump for further diagnosis, recheck $75 and in house cytology $70 or external laboratory cytology $327. The cytology results may indicate infection, inflammation, cancer or an undiagnostic sample. Further testing and/or treatment may be required, including, tissue biopsy, full blood tests, chest radiographs, specialist abdominal ultrasound, surgical removal, chemotherapy, radiation, or antibiotics.13. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.14. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.    Vital Signs    Weight: 23.04;       MMColour: Pink;       Temperature: 39.1;       

Reason: Check Canine TeethStaff Initial: RF1. Confirm name, address, phone and email details are correct. Y2. If this is a new patient, has the health questionaire been completed? If No, complete the questionaire.3. If this patient requires blood or urine tests, collect the sample. 4. Does the pet have pet insurance? If yes, confirm if using GapOnly service today or if history & invoice needs to be emailed. Provider and policy number required for GapOnly. Y5. Will you be using VetPay? Check the file to see if this has been used previously. If yes, obtain the client’s VetPay PIN number and confirm they are the account holder or authorised user, and bill ‘A Vetpay’ questionnaire to be completed at the end of the consultation. NHistory:Chipped bit of tooth found on floorChewing on a lot of thingsDiet: Supercoat puppy foodMilbemax - intending to startAvoid Drontal chewable - as caused diarrheaExamination:  1. Demeanour: BAR  2. Heart: no heart murmur  3. Lungs: NAD  4. Eyes: NAD  5. Ears: NAD  6. Nose: NAD  7. Oral Cavity: Left upper deciduous canine tooth - 2-mm missing from tip of crown - mild blood, not dripping  8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: No umbilical hernia, no inguinal hernias   12. Rectal: good anal tone  13. Genital: NAD - both testes descended  14. Skin and Coat: NAD  15. Musculoskeletal/Gait: no hind dew claws  16. Nervous System: NAD  17. Behaviour: goodNAD = no abnormalities detectedAssessment:11.11.25 2nd puppy vaccination C7 (had 1st vaccine with breeders as C3), Drontal26.11.25 3rd puppy vaccination C3 + C2i / Drontal chewable caused diarrhea last time - trial Drontal tablet16.12.25 Chipped upper left deciduous canine toothPlan: 1. Yearly C7 vaccination due 11.11.26Avoid Drontal chewable - as caused diarrhea2. Monthly Milbemax – controls roundworm, hookworm, whipworm, tapeworm and heartworm.3. Monthly flea control 4. Tick prevention – Monthly Nexgard or 3 monthly Bravecto. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.5. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.6. Large Breed Puppies:- Feed large breed puppy food until fully grown, approx 1.5-2 years of age – e.g. Hills- To prevent bloat (gastric dilation and volvulus GDV) - consider gastropexy surgery, an extra $700 if done with a desexing. Feed two meals a day forever, and train to rest after eating. - Read VIN handout on Bloat, the mother of all emergencies.- The growth plates of large breed dogs will close later than for a small breed dog. Avoid jumping or agility until fully grown, to avoid growth plate injuries.7. Desex at 5-5.5 months of age to reduce the risk of reproductive cancers. Consider delaying the desexing until fully grown at 1-2 years of age, to allow the growth plates to close, which may decrease the risk of growth plate injuries.NOTE - We will amend the Pet Registry to delay the desexing due to large breed, so that you are not charged the late desexing fee by the Council.Also consider preanaesthetic blood tests and intravenous fluids to ensure a safer anaesthetic.We honour any desexing voucher from any other veterinary hospital or pet store.8. Microchip:- Microchip registration - Register online before 12 weeks of age at www.petregistry.nsw.gov.au.- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.9. Grooming - Touch the face and feet a lot, this allows future grooming to be easily performed.10. Consider Pet Insurance for your pet.11. Chipped tooth- Monitor for swelling and discharge. Recheck if concerned- Adult teeth will start to appear at 6 to 7 months of age12. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.13. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.    Vital Signs    Weight: 10.54;       

Reason: 3rd VaccinationAppointment Notes: ------- Sms reply: Y  ------- Sms reply: YHistory:Drontal chewable - diarrhea that night - and sooky all the next dayDrontal tablet - ok to give that a try Diet: Supercoat puppy foodExamination:  1. Demeanour: BAR  2. Heart: no heart murmur  3. Lungs: NAD  4. Eyes: NAD  5. Ears: NAD  6. Nose: NAD  7. Oral Cavity: all temporary teeth erupted  8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: No umbilical hernia, no inguinal hernias   12. Rectal: good anal tone  13. Genital: NAD - both testes descended  14. Skin and Coat: NAD  15. Musculoskeletal/Gait: no hind dew claws  16. Nervous System: NAD  17. Behaviour: goodNAD = no abnormalities detectedTrimmed nailsAssessment:11.11.25 2nd puppy vaccination C7 (had 1st vaccine with breeders as C3), Drontal26.11.25 3rd puppy vaccination C3 + C2i / Drontal chewable caused diarrhea last time - trial Drontal tabletOwner mentioned - likely will desex around 5-6 months of ageMentioned to mind weightgain after desexingClient Communication: Gave pre-surgery desexing handoutTreatment: Drontal worming - as tabletlVaccinations: Protech C3 - Distemper, Hepatitis and ParvovirusVaccinations: Protech C2i - Coronavirus and LeptospirosisPlan: 1. Yearly C7 vaccination due 11.11.26Avoid Drontal chewable - as caused diarrhea2. Two weekly intestinal worming until 12 weeks of age, then worm every month until 6 months of age, then worm every 3 months for life – Drontal3. Monthly heartworm prevention – Start before 12 weeks of age4. Flea and tick control - 3 monthly Bravecto. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.5. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.6. Large Breed Puppies:- Feed large breed puppy food until fully grown, approx 1.5-2 years of age – e.g. Hills- To prevent bloat (gastric dilation and volvulus GDV) - consider gastropexy surgery, an extra $700 if done with a desexing. Feed two meals a day forever, and train to rest after eating. - Read VIN handout on Bloat, the mother of all emergencies.- The growth plates of large breed dogs will close later than for a small breed dog. Avoid jumping or agility until fully grown, to avoid growth plate injuries.7. Desex at 5-5.5 months of age to reduce the risk of reproductive cancers. Consider delaying the desexing until fully grown at 1-2 years of age, to allow the growth plates to close, which may decrease the risk of growth plate injuries.NOTE - We will amend the Pet Registry to delay the desexing due to large breed, so that you are not charged the late desexing fee by the Council.Also consider preanaesthetic blood tests and intravenous fluids to ensure a safer anaesthetic.We honour any desexing voucher from any other veterinary hospital or pet store.8. Microchip:- Microchip registration - Register online before 12 weeks of age at www.petregistry.nsw.gov.au.- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.9. Quarantine at home until 2 weeks after the 3rd vaccination.10. Enrol in puppy preschool, we run classes here, $180 for the 5 week course. Call us to book in your puppy.11. Grooming - Touch the face and feet a lot, this allows future grooming to be easily performed.12. Consider Pet Insurance for your pet.13. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.14. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.    Vital Signs    Weight: 7.6;       HeartRate: 120;       Temperature: 38.6;