C09983337 / invoice 10000

Reason: 13.8Appointment Notes: Overdue remindersHistory: Here for a GHC Has not specific concerns todayEDUF all ok Diet: 'scratch' food - twice daily Sometimes BMc dad feeds him other things! Sometimes will have a bit of variability in stoolsWondering if may be overweight Clinical Signs:BAR, mms pink refill 1sec, mod plaque on mainly incisors and canines, chest ausc - grade 2/6 murmur HR=PR, ears - noted look a bit red mainly the L but minimal discharge - mainly squames, scant malassezia on swab. Abdo palpaiton ok, mildly overconditioned, temp wnl Assessment:Would beneift form scale and polish of teteh Overweight- discussed diet and aimgin for 2kg weight lossNew finding of murmur- discuss in breed, likely early mitral valve disease.. Discuss monitoring, and workup options. Discuss measuring SRR at honme Plan:Due for vacc mid year so will recheck Pex then BMc to make some changes to diet and reduce extras. Talked about replacing high energy treats with carrots    Vital Signs    Weight: 13.8;