C09978771 / invoice 10000

Reason: Kc Vacc And Also Pls Check Teeth And Advise If DenAppointment Notes: if dental needed or something else nwHistory: O concerned about teeth. Eats fine. Fussy eater - eats when he wants. Gets dental sticks regularly. Gets them a few times a week. Tear ducts - O clean them but have noticed a small to them. Use a wet tissue to remove discharge. Not rubbing his eyes. Diet - mainly chicken + kibble. RC and other varieties - no special type used. Monthly HW - sometimes a struggle to get him to eat it voluntarily. AG - gets them regularly expressed. Groomer did it about 3 wks agoExamine:BARHeart nad, no murmurs present, lungs clearEars nadEyes - look okay, small amount of discharge medial canthus. Skin in this area no inflamed or ulcerated. Teeth - mainly inflammation around incisors + tartar - poss periodontal disease. Rear arcades look more like grade 1Abdomen nad. HL nad. EAG - moderately full, easily expressed. Treatment: Nobivac KC INPlan: Dental - have recommended due to severity of incisors, then need to implement possibly a combo of brushing incisors and chewing options ( t/d)    Vital Signs    Weight: 6.3;