C09983803 / invoice 10000

6 month med review + cytopoint

Consult 

History: 
Reason for presentation: ()

Diet: (Chicken necks, raw mince, treats, boiled chicken, vege, lamb, steak)
Eating: (Well)
Drinking: (Normal)
Toileting: (Normal)
Diarrhoea: (N)
Vomiting: (N)

Vaccinations: (UTD)
Chip Scan: (-) 
Insurance (N )
Flea control: (TRIO monthly)
Heartworm: (as above)
Worming: (as above)
Nails: (N- O uses dremel)
Medications: (Hemp seed oil daily)

Concerns: (N) 


Clinical exam:
Demeanor: (BAR)
Temperament: (lovely dog)
Heart: Rate (120) Rhythm: (regular) Murmur (nma) Femoral pulse (S+S) 
Respiration: (normal)
Oral exam: Teeth (only v mild plaque, look great) MM (pk) CRT (<2sec) Moisture(moist)
Eyes/Ears/Nose: (normal)
Skin/coat: (mildly erythematous down legs, no scabs)
Abdomen: (soft, comfortable)
Musculoskeletal: (normal)  
Genitals: (normal)
Temperature: (normal)
Lymph nodes: (normal)
Rectal: (didnt do)
BCS: (normal)

Treatment: (30mg cytopoint)

Plan: (continue cytopoint 30mg as needed, vaccs due in August)