C09981687 / invoice 10000

03/03/2026 Reason/concerns:  
P has been licking areas on R lateral elbow and also between toes LF paw
On gabapentin 400mg BID, helps for OA pain

Preventative Healthcare: Vaccination and parasite (flea, intestinal worms, heartworm).

Examine: 
Mentation: BAR
BCS:        2/5   
MM: Pink          
CRT: 1-2 seconds
HR:       92                      beats/min
RR:      panting                       breaths/min
Temperature:              not taken today

Ocular: No abnormalities noted on cursory examination of both eyes.
Oral/Dental stage: Some gingivitis and calculus observed.
Ears: No abnormalities noted on cursory examination of both ears.
Cardiovascular: No audible murmur or arrhythmia and no difficulty hearing the heart. HR = PR and no evidence of hypoperfusion.
Respiratory: Respiratory rate and effort considered normal for the patient.
Gastrointestinal: No pain on abdominal palpation. No masses or abnormalities palpated.
Integumentary: 
Musculoskeletal: Normal gait and strength noted. No evidence of lameness.
Urogenital: No significant abnormalities noted during routine physical examination.
Neurological: No evidence of neurological impairment or altered mentation. Detailed neurological examination not performed today.
Lymph nodes: Within normal limits for mandibular, prescapular and popliteal examination.
Nails: long on front paws, trimmed for P

Problem List:

Patient Assessment: 

Diagnostics performed (i.e. bloods, radiographs/ultrasound, ear cytology, urinalysis):
- None performed 

Treatment with medication 
dose rates (if any):

Client Communication
& Plan: 
(see attached vetcheck client information sheets if provided)

On-going medications required: Y/N (use prescription tab for further supply):

Next check up date: