C09988232 / invoice 10000

Reason: Yelping Around Her Bum Area. And Uncomfrotable In Appointment Notes: Thinks might be her anal glands.Reason: Painful around her anal glands. Client Present: yes Nurse: EE Wellness Testing: Urine or Faecal (When done/due?)Vaccination Type: C5 Intestinal worming: simpariac trio Heartworm Prevention: simparica trio Flea Prevention: simpariac trio Tick control: simpariac trio Microchip: Onf ile Insurance and Healthy Pets Plus: none Behaviour concerns: N/A Current Diet: Prime 100 chicken broccoli rolls. Petwise biscuits. NO beef allergic. Yelped the other day when she felt under neath her but hasnt done it since. ED: ye all fine Other health concerns: possible ana glands + arthritis + licking around her vagina. No vx or Dx in the past 2 weeks: none Lepto: declined Any adverese reactions or allergies: BEEF. __________________________________________________________________________History: In for episodes of yelping. Think been licking around her bum/vulva Examination: D: BARConditon: goodEeys: NAdEars:NADOral: mild tartar predominantly on the L canine LN: PLN small and softCardio: ND HR=PR no arrhythmia n murmur Resp:C lear erbaht soundsGIT: soft on abdominal aplapitonMSk: No obvious pain resonse but previous suspect arthritis responds well to cartrophen adn gabapentinInteg: hair/cait fenbAnal gladns.Modeate fullingLaboratory: Assessment: OPain related to arthritis vs anal glands vs other Treatment: Frist cartriphen/4 Gabapentin to have on hard as reuired. Consent has been given by the client to proceed with this treatment  -  Yes/No Plan: Scripts Needed - Yes or NoRevisit needed - Yes or No - ____ Days please    Vital Signs    Weight: 9.4;       HeartRate: 104;       RespirationRate: 28;       CRT: 1 second;       MMColour: Pink ;