C09984546 / invoice 10000

lethargic, innappitent, seems warmer than usual
DDU OK, hiding a bit. 
most likely call for unwell 04/03 but may go to WICA

History: (
- Has been less interested in food - usually the first one to go for the food
- Less active
- Since monday
- Dog at home just had surgery, on a few meds. Fairly certain he hasn't gotten into any
- The other cats at home have been fine, no concerns)
 EDDU: (Owner not sure about urinating/defecating -  has 2 other cats. Found a hairball vomit but unsure who it was from)
 Diet: (Leaps and bound wet, also has dry food)
 Medical condition: (No)
 Medication: (No)
 Kept: (Indoors only)
 Parasite control: ()
 Behavioural concerns: ()

Examine:
 Weight change: (-300g)
 Muscle condition score: (A)
 Mentation - (BAR, very busy)
 CRT (<2) seconds
 Teeth/oral cavity - (G0)
 Eyes - (NAD)
 Ears - (NAD)
 Skin - (NAD)
 Lymph nodes - (NAD)
 Thyroid - (NAD)
 Heart rate - (170, no murmur)
 Heart rhythm - (NAD)
 Chest auscultation/Lungs - (NAD)
 Abdominal palpation - (NAD)
 Musculoskeletal - (NAD)
 Urogenital - (NAD)
 Pain score - (0/6)
Resents rectal temp - got up to 38.8 then became too wriggly (has already had multiple attemtps at this)

Laboratory:
CBC: HCT-(40.8)   NEU 11.9   MONO 0.4
Biochemistry: ALB-(33)    ALP-(12)   ALT-(20)   TBIL-(5)   BUN-(5.5)   CA-(2.78)   Phos-(1.61)   CREAT-(153)   GLU-(9.0)   Na-(145)    K-(3.7)    TP-(94)   GLOB-(61)
TT4: (16)

Assessment: (Neurophilia and monocytosis - infection/inflammation
Mild azotaemia - too wriggly to get urine or even express bladder Onwer bring back sample for usg)

Treatment: (0.46ml maropitant sc, 0.46ml betamox sc. Start 62.5mg amoxyclav PO BID tomorrow for 7 days)

Plan: (If not better abdo u/s)

Recheck/Recall/Reminder: ()

 

HC + vacc

History:
- Annual check-up and vaccination for three cats: Scout, Gojo, and Sukuna.
EDDU: Normal
Diet: Applaws dry food for breakfast. Occasional wet food, frequency shifted from daily to weekly. All cats eat together without issue. Food is provided morning and night, with grazing possible if not finished immediately.
Medical condition: None
Medication: None.
Kept:Indoor only 
Parasite control: Not discussed.
Behavioural concerns: None

Examine:
Weight change: 
Muscle condition score: a 
Mentation - Bright, alert, and responsive for all. 
CRT <2 seconds
Teeth/oral cavity - G1
Eyes - NAD
Ears - NAD
Skin - NAD
Lymph nodes - NAD
Thyroid - NAD
Heart rate -
Heart rhythm - NAD
Chest auscultation/Lungs - NAD
Abdominal palpation - NAD
Musculoskeletal - NAD
Urogenital - NAD
Pain score - 0/6

Assessment:
fit to vac

Treatment:
- F3 vaccination tricat .

Plan:
- F3 vaccination administered to all three cats.
- T/d dry for teeht + Recommended to reintroduce wet food more frequently (e.g., daily) to increase hydration and allow for reduction in calorie-dense dry food. 

Adolescent HC
TIME OKAYED BY CB

Adolescent check
H: (no concerns)
Any problems?: (none)
Diet (wet and dry)

Appetite (good)
Vomiting(no)
Diarrhoea (no)
constipation (no )
cough(no)
sneeze(no)
Urination (ok)
Behaviour (occ tries to hump gojo)

E:
Gait(normal)
MM (pink moist)
CRT(<2s)
Skin elasticity(normal)
BCS(5/9)
Mouth(NAD)
Teeth(gr0 )
Nasal Passages and sinuses (NAD) 
Trachea(normal)
Ears (normal)
Eyes(normal)
Skin(normal)
Lymph nodes(normal)
Thoracic compressibility(WNL)
Heart (NAD)
Lungs (NAD)
Musculosceletal(NAD)
Abdominal palpation(NAD)

A:(helathy kitten)

P: (discussed feeding adult food and lots of wet food
dental health - try t/d)