C09989166 / invoice 10000

Appointment Notes: 3rd vaccination IP HISTORY:Doing well: Eating, drinking and toileting normallyCurrent Medications: None Vomiting or diarrhoea: None Diet: Appetite and thirst: Normal / AbnormalFlea/tick: Worming: Any health concerns (Y/N)Any behaviour concerns (Y/N)Toileting concerns (Y/N)Previous vaccinations ( ) Microchipped (Y/N) EXAMINATION: Demeanour: BAR MM: Pink, moist, CRT <2 Eyes: Clean and clear, normal eyelids, no erythema or discharge Ears: Minimal debris, no inflammation or odour Lymph nodes: Peripheral lymph nodes palpably normal Oral: (No oral lesions or abnormalities detected)Bite: (Normal / base narrow canines / other)Teeth: (Normal juvenile dentition) Cardiovascular: Normal heart sounds, no murmurs or arrhythmias detected, femoral pulses synchronous and normodynamic Respiratory: No nasal discharge, normal bronchovesicular lung sounds in all 4 quadrants, no coughing seen Abdomen: Soft and comfortable on palpation, no masses palpated, bladder unremarkable MSK: Normal gait no lameness. Normal ROM with no pain of all limbs. No pain on DV palpation of spine Integument: Coat is soft and clean, no ectoparasites detected, no obvious skin lesions or masses Neurological: Normal mentation, no ataxia or CP deficits observed. Full exam not performed Reproductive/Urogenital: External genitalia normal in appearance Rectal: Not performed Hernias:(None)(Umbilical – reducible/non-reducible)(Inguinal – reducible/non-reducible) Hind dew claws:(Absent)(Attached)(Unattached)PROBLEM LIST: N/A DIAGNOSTICS: N/A ASSESSMENT/DDX: Healthy puppy, fit for vaccination MEDICATION: Gave C4BS1 SQ and orally respectively C4 batch # , Expiry BS batch # , Expiry PLAN:Booster C5 in 12 months time CLIENT COMMUNICATION: N/A Handouts given: Puppy Health Schedule, Desexing Handout  Next due for vaccination: 12 monthsRecommended time of desexing:     Vital Signs    Weight: 6.3;       

HistorySignalment: 11-week-old male Kelpie puppyPresenting Complaint: Raffy presents for routine puppy vaccination and health checkPatient History:- Eating chicken faeces from free-range chickens on property- Soft stools occurring in laundry at night- Pruritus noted by client- Diet consists of raw beef mince, chicken and rice kibble (handful before each meal), Greek yogurt (tablespoon for morning tea), and occasional boiled eggs- Lives on 5-acre property- Original microchip not detectable on scanning- Obtained from breeder at 8 weeks of age- First night home was uneventful, no crying or distressExamVital Signs:Weight: *3.1 kg*Temperature: WNLHeart Rate: WNLRespiratory Rate: WNLMucous Membranes: Pink and moistBCS: 5/9Findings:Eyes: Clear OU, no discharge or rednessEars: Clean AU, no discharge or inflammationNose: Clean, no dischargeOral: Teeth clean, no gingivitis or tartarHeart: Normal rate and rhythm, no murmurs or arrhythmiasPulses: Strong and synchronousLungs: Clear lung fields bilaterally, no crackles or wheezesMusculoskeletal: No appreciable lameness, normal muscle mass/toneIntegument: Healthy hair coat and skin, no ectoparasites seenPeripheral Lymph Nodes: Non-palpable or less than 0.5 cmAbdomen: Soft, non-tender, no masses or organomegalyUrogenital: Normal external genitalia, no discharge or inflammationRectal Exam: Not performedNeurologic: Full neuro exam not performed. Neurologic status appears WNLAssessmentProblem List:- Apparently healthyPlanDiagnostics:- Microchip scan performed: no chip detectedTreatment Plan/Medications:- Administered:  - C5 vaccination  - Kennel cough vaccine (intranasal)  - Microchip implantation (new chip registered)- Rx: NexGard chewable tablet to be given tomorrow with food (covers fleas, ticks, heartworm, and intestinal worms)Client Communication:- Advised to continue current diet as puppy is tolerating well- Explained vaccination schedule: final vaccination needed in 4 weeks- Discussed desexing timing: recommended around 9 months of age- Provided information sheets on pet toxins, emergencies, and common plant toxins- Advised on socialisation restrictions until vaccination series complete- Recommended pet insurance consideration- Scheduled follow-up appointment in 4 weeks for final vaccination- Tentative desexing booking scheduled for late August (to be confirmed closer to date)    Vital Signs    RespirationRate: 28;       HeartRate: 140;       Weight: 3.1;