C09989937 / invoice 10000

Reason: VaccinationHistory:Vaccination card presented in consult As puppy patient received x2 doses DHP, no other vaccinations given elsewhere acc to O Recommend repeat DHP + primary course lepto and Bb/Pi - O consented O administering milbemax every three months - no HW prevention, o consented to IH snap test to be performed today Exam: BARBCS goodmm pink & moistrefill gooddental exam NADCVE NADrespiratory tract NADabd palp NADLnn NADMS exam NADdermis NADAssessment: Healthy and fine to vaccinateTreatment:Nobivac DHP vaccineBatch # - 2534203Exp - 06-2027Nobivac BB/PiBatch # - 2534203Exp - 06-27Nobivac leptoBatch # - A003A01Exp - 10-2026Jugular blood sample taken for HW snap Plan: repeat 2-4 weeks for lepto and Bb/Pi booster HW snap negative O called, to be given Pro-tech s12 at booster vaccination in 2 weeks time     

Invoice Text:SpayPre anaesthetic bloods (chem 10) were within normal limits, PCV- X% which is normalDissolving sutures. Please start her on pain relief tablets tomorrow morning. She has had a long acting injection which will last till then. Please continue this with carprofen tablets starting from tomorrow. If you feel she needs additional pain relief. She may have 1/8th of a 500mg paracetamol tablet (cut it into 8 pieces) twice daily starting from tonight. Please be aware that paracetamol is an off label drug in dogs.Please keep her strictly rested, do not let her wound get wet and she needs to wear an elizabethan collar for 10 days. Please visually inspect her wound daily and call us or send us a photo if anything changesThank you for entrusting us with the care of your dog, she is a very brave girl who is so sweet.Kind RegardsThe Team at Struggletown Veterinary HospitalExamination Text:Reason: 8:00amReason: Dog SpeyExamine: CVE wnlTreatment: 0.3mg/kg Meth, 5ug/kg dom, alfaxan, iso.  IvF @ 5ml/kg/hrProcedure: Midline laparotomy, Double ligate pedicles 3-0 PDS, LA 3-0 PDS continuous, SC 3-0 PDS interrupted, 4-0 PDS intradermal and glueTreatment:  Carprofen inj given on recoveryPlan: Start carprofen tomorrowStrict rest, e collar and 10dDissolving internal sutures

AnalyteName | Result | Units | LowRange | HighRangeGLU	5.63	mmol/L	4.11	7.95	SDMA	10	µg/dL	0	14	CREA	55	µmol/L	44	159	UREA	5.8	mmol/L	2.5	9.6	BUN/CREA	27				PHOS	1.36	mmol/L	0.81	2.20	CA	2.39	mmol/L	1.98	3.00	TP	55	g/L	52	82	ALB	32	g/L	23	40	GLOB	23	g/L	25	45	ALB/GLOB	1.4				ALT	115	U/L	10	125	ALKP	125	U/L	23	212	GGT	4	U/L	0	11	TBIL	2	µmol/L	0	15	CHOL	3.66	mmol/L	2.84	8.26	AMYL	708	U/L	500	1500	LIPA	568	U/L	200	1800