C09986014 / invoice 10000

Reason: Coughing, Bringing Up FoamAppointment Notes: Overdue remindersHistory: Last 24hrs coughing, bringing up foam, lethargic, not himself. Not much interaction with other dogs, does go to park but only plays ball alone. Otherwise well. Due adult vacc soon. Examination: BAR lovely boy. Eyes/ears fine, teeth great, mms pm crt 1 sec. Hr 80 rr12. Lungs clear. Mild enlargement subM LN. T39.3. Hoarse hacking cough ++ Treatment: Susp KC, discussed no abx as usually self-limiting, call if has ocular/nasal discharge/more lethargic, not himself etc. Vacc in 2 weeks when better.    Vital Signs    Weight: 24.7;