C09981069 / invoice 10000

Appointment Reason: X-Rays, Appointment Notes: bloods and sedated X-RaysConsent and admit overview completed. Procedure prep sent LC  ------- Sms reply: Ynormal RR and effort in the kennelvery stressed todaychest - no murmur, normal BV soundsgiven butorphanol IM - not enough sedation achieved for xraysalfaxan given IVleft and right lateral and VD views takenhas a slight bronchial patternheart shadow is marginally larger than I would normally expectgood recoverysuspicion re: asthma given clinical hxadvised o I can't rule out cardiac disease without ultrasound - declined for nowrec doxy trial and review in 2weeksrec do SRRs in the meantime26/02/26 - bloods are unremarkable    Vital Signs    

Appointment Reason: Health Check, Appointment Notes: Check UpPaws App Details:Booking Type: ConsultationBooking Vet: - Any -Booking Notes: Annual check up for Violet (turned one year old in December)Owner Name: Hannah JamesOwner Email: hljames96@hotmail.comOwner Mobile Number: 0402679300Pet Name: VioletPet Species: CatPet Insured: YesWeb BookingClient name: JamesContact number: 0402679300Email address: hljames96@hotmail.comPatient name: Violet  ------- Sms reply: Y History:Presented for health check Generally very well except for lingering issue of coughing episodes Happening less often than when Violet was younger- used to be twice a week and now roughly once a fortnight Drinks a lot of water (eg for 2 minutes) - sometimes sounds like she's coughing up a furball but she never does. Every time she's been checked out for this at the vet previously her breathing has been fine. Clients considering further investigation - clients concerned there may be other underlying pathology or a heart issue If she's lying down she sounds a bit congested (like an URT blockage - not really a wheeze) Gives cat lax regularly (prescribed for hairballs) - not sure whether helping or not Coughing episodes- coughing but not bringing anything up (last up to 10 seconds) - recovers immediately afterwardsIndoor cat No environmental changes BIOP since kitten - adopted from AWL Likely due vac now Parasite Prevention: Diet: Medication: Clinical Exam: Demeanour: QARHR: 168bpm, reg rhythm, nmaRR: 24bpm, normal bronchovesicular sounds bilaterally MM pink + moist CRT < 2 secT: 38.3 deg C Nares clear bilaterally Dental Grade: 0/4 BCS: 4/9Eyes: Clear bilaterally Ears: Clear bilaterally Integ: Coat clean GIT: Abdomen soft and comfortable on palpation PLN: Submandibular, prescapular and popliteal lns palpable and wnl MSK: Ambulating well, full MSK exam not performedNeuro: BAR, normal mentation, full neurologic exam not performed Genitourinary: NAD Lab: Assessment: Fit for vaccination Ddx for cough - feline asthma vs mild flu symptoms vs other LRT or cardiac pathology less likely but cannot completely rule out Treatment: Fel-O-Vax 3 batch no 3254011 exp 20-08-27Plan: Repeat health check & vacc in 12mths.Book in for chest rads under sedation and IDEXX Preventative Care Profile bloods Discussed option of echocardiogram also- client comfortable starting with chest rads, bloods and will consider echocardiogram pending progression Info about introducing new cats to the home emailed to client (icatcare.org articles)     Vital Signs    Weight: 4.31;       

Appointment Reason: Suture Removal, Appointment Notes: 10 day post op  ------- Sms reply: Y History: Presented for sutures out following stitch up at AEC (see attached hx)  Been well, BAR, eddu well, no concerns PEx:BAR HR 180bpm Integ: sutures in place L lateral hock, wound healed completely Assessment: All healed well Treatment: Removed sutures, all healed well Plan: R/V in 4 months for vac.      Vital Signs