C09984299 / invoice 10000

Reason: Vaccination
History: Doing ok on zenrelia but once stopped itch returned
has gained a lot of weight O feeds sardines to give pills says no other way to give meds
EDUF: fine
Current meds:
HAC meds
gabapentin as needed
carprofen as needed
now zenrelia
Parasites:
                    na       
Mentation: BAR
BCS                   6 /9 above ideal     
TPR - WNL
temp not taken
Dental Stage:  ne                                     
Gastrointestinal:  nad            
Skin & lumps: nad
Musculoskeletal:  poor extension of both hips            
Cardiovascular:                 nad
uro/neuro:               ne
A/O findings?:       no
                                                                                       
Assessment:
OK for vaccination
likely djd in hips add in paracetamol if needed care about weight try to cut back on sardines, add in bernasa or pentosan or both if feels still stiff
allergies stable on zenrelia O notes seem seasonal so will give in summer but not winter
HAC stable at minute
Treatment: nil
                                         
Vaccination given: nobivac injection DHPPi
Batch number:        2524002
Vaccination given:  nobivac oral Bb
Batch number:         2532515

Annual/Next vaccination needed:
C2: February 2027
C5:  February 2029