C09981657 / invoice 10000

Appointment Notes: ongoing hives/bumps/skin issues, itchy, limping a bit, discuss desexing ageHistory:-Limping on LF leg for about 1 week. -Also spends all day long scratching. Everywhere. Loses some hair. -EDUD normally-Has noticed some white eye discharge from both eyes. -Does pay rough. -Has been itchy since very little. Laboratory: Skin scrape:Negative for mitesTreatment:-Cytopoint injection SC    Vital Signs    Weight: 37;       MMColour: Pink;       Temperature: 38.7;       HeadEyes: Normal;       Nose: Normal;       Skin: Abnormal (Mild alopecia lateral right distal limb. and very mild erythema /small bumps aroud latheral thorax);       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       HeartRate: 140;       RectalGenetalia: Normal;       Gingivitis: 0;       Calculus: 0;       Observation: Normal;       DentalGrade: 0;       CRT: 1-2;       

Appointment Notes: Final puppy vacHistory:-2 weeks had bad gastro and went to emergency. has fully recovered. Treatment:-C5 vacc    Vital Signs    Weight: 17.05;       MMColour: Pink;       Temperature: 37.5;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       HeartRate: 144;       RectalGenetalia: Normal;       Demeanour: QAR;       Hydration: Normal;       Gingivitis: 0;       Calculus: 0;       Observation: Normal;       DentalGrade: 0;       CRT: 1-2;       

Appointment Notes: second round of vaccinations, new patient old clientHistory:-Due for second vacc. Had first C3.-IOP for three days. -Seems normal, EDUD normally. -Had worming yesterday.Treatment:-C5 vacc and booster in 1 month-Discussed desexing at 9 moths of age and placed reminder    Vital Signs    Weight: 12.3;       MMColour: Pink;       Temperature: 38.6;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       HeartRate: 162;       RectalGenetalia: Normal (Both testis in scrotal sac, no umb hernia, no hind dewclaws. );       Demeanour: QAR;       Hydration: Normal;       Gingivitis: 0;       Calculus: 0;       Observation: Normal;       BodyScore: 5;       DentalGrade: 0;       CRT: 1-2;