C09977391 / invoice 10000

Appointment Notes: VETSTORIA - - Toby (Dog) - Phil Vevers - 0432000972 - Vaccination & Health Check [Veterinarian : Dr Lydia Tan(No Preference)] - Repeat medication needed and health check / vaccination updates -Web BookingClient name: Phil VeversContact number: 0432000972Email address: philip.vevers@ecolab.comPatient name: TobyHistory: presented for vaccination and Proheart injection. Also needs more prednisolone for skin allergies and a blood test due to chronic pred usage. EDDU normally, no vomiting or diarrhoea.Preventatives: UTD with Nexgard and worming tabletPreviously had vaccine reaction when he was a puppy but has been fine the last two vaccinations. O elected to not give anti-histamine and monitor. Staying in the clinic for 30mins before going home.Exam: See exam section. Diagnostics:See reportInterpretation: elevated TP (more ALB than GLOB) & HCT - haemoconcentration - suspectAssessment: fit for vaccination. Needs close monitoring today for vaccine reaction.Plan:  Given Nobivac Flex DHPPi SQ Batch 2532515 Exp 07/2027 + Nobivac BB Oral Batch 2513401 Exp 01/2027Gave Proheart SR-12 inj SQ Batch 788649 Expiry 08.2027. Prednisolone 5mg PO EODCortavance spray - spot spray for lesionsHighly recommended dental - may or may not need extractions    Vital Signs    Weight: 8.7;       MMColour: Pink;       RespirationRate: 24;       HeartRate: 130;       HeadEyes: Normal;       Nose: Normal;       Skin: Abnormal (crusty skin lesion on rump);       MusculoSkeletal: Abnormal (crepitus on palpation of hips);       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       Demeanour: BAR;       Hydration: Normal;       Gingivitis: 2;       Calculus: 2;       Observation: Abnormal (gingivitis and calculus on carnassials and molars);       BodyScore: 6;       DentalGrade: 3;       PainScore: 0;       CRT: 1-2;