C09978654 / invoice 10000

Reason: Vaccination SJKAppointment Notes: Overdue reminders  ------- Sms reply: YHistory: Any issues: limping occasionally on the RFL, otherwise okUp to date with prevention:       -- yes/no - yes      -- type - carprofen occasionallyMedications on currently - carprofen okExamine:-- BCS: 5/9-- Temp: 38.4 -- MM:  pink-- CRT: 2 secs-- Cardiovascular:      -- HR: 120    -- No obvious murmurs or arrhythmias -- Respiratory:     -- RR:  16    -- Respiratory effort - No increased insp or exp effort     -- Respiratory sounds - Normal bronchiovesicular lung sounds     ---- Abdomen:     -- Pliable, not painful, no masses obvious on palpation    ---- Oral:    -- Examination: calculus throughout the arcades    -- Dental score: 2/4-- Eyes:     -- No abnormal ocular discharge,    -- No conjunctivitis    -- normal sclera,     -- Pupils symmetrical.     -- Retinal examination normal.     -- Lens normal position and normal opacity.     -- Eyelids normal-- Nose:     -- Normal confirmation     -- No sneezing.     -- No nasal discharge.     -- Normal symmetry. -- Integument:     -- Clean coat,     -- No dermatitis or skin lesions present.    -- Normal skin turgor    -- No fleas or externa parasites    ---- Ears     -- Left ear - normal canal with no discharge. Normal pinna    -- Right ear - normal canal with no discharge. Normal pinna-- Lymph Nodes:     -- all palpable external lymph nodes normal size and shape-- Musculoskeletal:     -- Ambulatory with no lameness.     -- Joints palpate normally.     -- Normal musculoskeletal exam    -- RFL - some OA of the elbow, otherwise ok-- Neurological:     -- Mentation - BAR.     -- Normal CN function.     -- No ataxia noted.     -- Normal neurological exam     ---- Rectal exam: -- Reproductive:     -- n/a (de-sexed) -- Behaviour: no problems-- -- Problem list: 1.  RFL lameness2.  Overweight3.Plan: Quote/Estimate$650 dental + preA (needed for NSAIDs)Treatment: C5 Vaccination given s/c between the shoulder bladesCarprofen 50mg sid as needed - repeat okPlan: repeat DHP + KC  annuallyDiscussed gastrointestinal and heartworm prevention    Vital Signs    Weight: 25.5;