C09981711 / invoice 10000

Reason: Diarrheoa 2 Days, Gave Nexgard Sunday, Watery Poo Appointment Notes: BMHistory:Intermittent D+ at times. Usually in wet season. Self resolves. D+ started on Sunday. This was after giving NGS. NGS did cause D+ as a puppy. Probiotic started. This am still very watery. This afternoon already starting to become solid. Examine:Problem List:DIfferential Diagnosis:Treatment:Plan:    Vital Signs    Weight: 45.2;       

Reason: Lepto Appointment Notes: Snow (Dog) - Vaccination [Veterinarian : 1 Consult(No Preference)] - Lepto vaccineWeb BookingClient name: Linda De VlasContact number: 0468883572Email address: Lvlas1@hotmail.comPatient name: Snow Original Appointment Type: Vaccination  ------- Sms reply: Yes  ------- Sms reply: YesHISTORY:here today for lepto boosterowner has no concerns at homeParasite prophylaxis: UTDDiet:Medication: EXAMINE:BARmm: WNLOral cavity: WNLTeeth: WNLEyes:  WNLEars: WNLAusc: WNLAbd palp:  WNLSkin: WNLLN:  WNLMusculoskeletal: WNLNeurological: WNLRectal:  Not performed reproductive: WNLDDX: vaccinesTREATMENT:  nobivac lepto - SC PLAN:continue parasite prevention vaccines due in 12 months    Vital Signs    Weight: 44.8;       

Reason: Web BookingHx - 3d hx intermittent vomiting and liquid diarrhoea (no blood or mucous). Hasn't vomited in 2d  - otherwise BAR, eating well. - no change in diet, no access to toxinsRegular diet: Kibble Fish based as allergic for chicken . Advanced and sardines and carrot. Pex - mm p crt <2 good pulses neg murmur. Abdo comfortable. Coat healthy. LNs wnl. Eyes / ears / teeth nad. Bcs 5/9.  - BAR in consult, friendly / taking treats  - temp 38.2A - mild gastroenteritis - unknown aetiology. Possible stress as Linda is OS P - prokolin and WASRecheck INI    Vital Signs    Weight: 43.8;