C09984098 / invoice 10000

Appointment Notes: Hx from Wandin attached.VETSTORIA - (New client) - Millie (Dog) - Fred Swann - 0414718923 - Vaccination [Veterinarian : Dr Sarah Iob(No Preference)] - Vaccination and checkup -Web BookingClient name: Fred SwannContact number: 0414718923Email address: frederickswann@me.comPatient name: Millie  ------- Sms reply: YHistory: Fred here todayHas been dragging bottom a little bit EDDU WNLSometimes second stool can be a little softNo V+Was V+ after bones, so O has stopped this nowAre potentially looking at rehoming herNo issues as such, just is getting too hard having a baby.They are wanting another one and the partner doesn't like dogs. Flea/tick/worming: UTD - Nexgard spectra (was accidentally giving 3 monthly)No previous vaccinationsExamine:   See examAssessment:1) Grade 2 dental disease with slab fracture #208, very worn down #1082) L Ear: OE 5 - 10 yeast/hpf3) AGs mildly fullPlan:Vaccinations: Nobivac Flex DHPPiVaccinations: Nobivac BB OralAbove vaccines givenO to instill 1ml into LEFT ear TWICE daily for 10 daysLeave 2 days then revisit for repeat ear swabRecommend dental based on slab fracture 208, suspect 108 may need extraction as well Rest hopefully just a Grade 2 Given O is rehoming may not do this so I advised risk of TRANeed to advise new owners of this and that needs a dental asap    Vital Signs    Weight: 33.8;       MMColour: Pink;       HeartRate: 132 (No murmur and arrhythmia);       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Abnormal (Left ear has moderate brown waxy discharge. Wouldn't allow otoscopic exam as can barely swab ears);       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Abnormal (AGs mildly full - no evidence of infection. );       Demeanour: BAR (Lovely girl - is a bit resistant to have things assessed on head. Goes back to O and is wriggly. No signs of aggression shown today though);       Hydration: Normal;       Gingivitis: 0;       Calculus: 2;       Observation: Abnormal;       BodyScore: 6;       DentalGrade: 4 (Slab fracture #208, #108 very worn down (pulp exposed?));       PainScore: 0;       CRT: 1-2;