C09977298 / invoice 10000

Reason: Check Up / Health CheckAppointment Notes: Booked Online: 23/02/2026 12:56:44 PMBooking Type: Health CheckBooking Notes: Check Up Health Check Owner Name: Pramod GopalakrishnanOwner Email: gpramvr@gmail.comOwner Mobile Number: 0417228038Pet Name: YukiPet Species: DogWeb BookingClient name: GopalakrishnanContact number: 0417228038Email address: gpramvr@gmail.comPatient name: YukiHistory: Diet: Raw variety, only gets kibble as treats Preventatives: Simparica Trio UTD due for 3 month wormerBlood in faecesSubjective- Presented for a general check-up.- The owner reports a few-week history of gastrointestinal upset, including reduced appetite and abnormal stools.- Stools are described as soft with a liquid component, malodorous, and occasionally containing mucus and small amount of frank blood.- The patient is on a raw food diet. There was a recent diet change from chicken to an all meat mix.- Known to ingest non-food items (e.g., cotton, grass).- Parasite prevention: Simparica Trio administered monthly.Objective- Demeanour: Bright, alert, responsive. H 4+.- HR: 120 bpm, RR: panting, MM p/m, CRT < 2 sec, T: 38.8- BCS: 5/9, Hydration: Clinically adequate.- Exam:  - Cardiovascular: Normal auscultation, no murmur or arrhythmia.  - Respiratory: Thoracic auscultation clear bilaterally, normal respiratory effort.  - Oral: No cleft palate, otherwise unremarkable.  - Abdominal: Non-painful on palpation.  - Rectal: small amount lf loose stool with + mucous and very small amount fresh blood.  - Urogenital: Both testicles descended.  - Musculoskeletal: Ambulating normally, no pain on palpation.  - Integument/Ears: Ears clean, skin unremarkable.  - Other systems: Neurologically, lymph nodes, eyes all NSF.Diagnostics- Faecal analysis (in-house smear): Showed a slight overgrowth of rod-shaped bacteria.- Faecal sample sent to IDEXX for faecal float.Assessment- Gastroenteritis with dysbiosis.- Differentials include dietary indiscretion/intolerance, infectious causes (e.g., bacterial, parasitic), or inflammatory bowel-type disease.Plan- Metronidazole 200 mg: 1 tablet PO BID for 5 days.- Protexin Pro-Kolin: 3 mL PO BID until stools are normal.- Dispensed Milpro tablet to be used today and thereafter every 3 months.- Advised a temporary change to a gastrointestinal diet (Hill's Prescription Diet i/d).- Discussed transitioning to a kibble-based diet long-term if signs recur.- Counselled the owner on the correct administration frequency for Simparica Trio (every 4 weeks). Follow-up: - The owner is to monitor for resolution of clinical signs. - Advised to return for re-evaluation if diarrhoea does not resolve or recurs after treatment.  - May need abdominal x-rays or blood tests for chronic diarrhoea work-up. - Await external laboratory results for faecal float (expected within 24 hours).    Vital Signs    Weight: 12.3;