C09985220 / invoice 10000

Reason: DiarrhoeaAppointment Notes: Booked Online: 04/03/2026 11:32:17 AMBooking Type: UnwellBooking Notes: 24 hours diarrhoea and vomit - . History- 24 h of diarrhoea and vomiting. Increased urgency to defecate. Multiple times a day, almost every hour.  Specks of bright red seen in feces. No blood in vomit. Last vomit was 10am this morning. No bones usually. Usual diet- kibbles in the morning and Canned food in the evening. Eating well still. Owner has withheld food this morning. Drinking alot of water. Examination- BAR excited Pink mms, tacky mms Oral- moderate generalised tartar on most teeth Cvs HR 120, pantingAbdominal palpation- gassy middle abdomen, slight discomfort but overall very comfortable. No foreign material palpated T 38.7cAssessment: acute vomitnig and diarrhoea- now with light specks of fresh bloodTreatment:Subcut fluids 100mls Cerenia s/c Home on probiotics, antibiotics, bland diet Given fecal container to return w feces for testing if no improvment    Vital Signs    Weight: 11.4;       Temperature: 38.7c;       

Reason: CytopointAppointment Notes: Booked Online: 26/01/2026 16:45:28 PMBooking Type: Skin, Ears, Eyes or LumpsBooking Notes: CytopointOwner Name: Eloise BurtonOwner Email: eloise.mburton@gmail.comOwner Mobile Number: 0451499078Record created by Heidi Health AI - reviewed and edited by Dr EVCHistory:- Intermittent itching episodes requiring Cytopoint injections- Episodes occur every 2-3 months when itching becomes noticeable- Last injection November 2025- Recent itching started approximately 1.5 weeks ago- Generally well and not pruritic between episodesExamination:- Overweight body condition noted- Did not perform PE todayAssessment:, Treatment: & Plan:1. Allergic dermatitis- Intermittent allergic skin condition with good response to Cytopoint- Cytopoint 20mg SC administered (batch 840616, expiry 02/2027)- Monitor for response over next 2-3 months2. Obesity- Weight reduction recommended- Measure current daily food portions to establish baseline- Reduce food intake and monitor treats- Reassess weight at next visit    Vital Signs    Weight: 11.6;       

Reason: CytopointHistory: Pruritis has returned. O unsure of skin diagnosis. Pattern of itch: mainly antebrachium + generalised (milder)No other owner concerns. EDDU normal No v or d Parasite prevention: simparica trio Diet: commercial food. Dry am and wet pm. Current tx: Diet trial done - no improvement Cytopoint (last given 4 months ago) No topicals or supplements. Examination: BAR, HR100, RR panting, T not taken EENT: appropriate for age, brachycephalic, mild to moderate gingivits - 104 worstLN soft and symmetrical CRT<1.5s, mm pink and moist No murmur or arrhythmia, HR=PR Normal bronchovesicular sounds Abdominal palpation unremarkable, soft loops of bowel, small bladder, no masses, pain or organomegaly, no fluid wave Skin and coat: hypotrichosis of inguinal and axillary area. Paws nad. Antebrachium mild hypotrichosis. Ears nadAmbulatory 4x Neuro unremarkable Assessment: Atopic dermatitisFit for vaccinationTreatment: Cytopoint 20mg SCC4 + KC oralPlan:Weekly aloveen oatmeal washes. Consider malaseb on affected areas biweekly/weeklyDaily fish oil "double strength blackmores" example given    Vital Signs    Weight: 11.7;