C09990021 / invoice 10000

Reason/concerns: Medication request

History:
Pt doing well on zenrelia. O requested prescription. 
Pruritus well managed currently. 
EDUF: Normal 

Medications:
Last zenrelia given on Monday 
Last beransa 20g 19/02/2026

Preventative Healthcare: Vaccination and parasite (flea, intestinal worms, heartworm). UTD

Examine: 
Mentation: BAR
BCS:  5/9 
MM: Pink, moist          
CRT:  <2 seconds
HR:  wnl 
RR:  wnl       
Temperature: nt 

Ocular: No abnormalities noted on cursory examination of both eyes.
Oral/Dental stage: G 2/4
Ears: No abnormalities noted on cursory examination of both ears.
Cardiovascular: Limited exam today. 
Respiratory: nsf
Gastrointestinal: nsf.
Integumentary: Limited exam
Musculoskeletal: Normal gait and strength noted. No evidence of lameness.
Urogenital: NE
Neurological: No evidence of neurological impairment or altered mentation. Detailed neurological examination not performed today.
Lymph nodes: NE

Patient Assessment: 
AD currently well managed on zenrelia
Passing normal stool. 

Treatment:
Zenrelia 15mg 1.5 tablets SID 14d

Client Communication
& Plan: 
Prescription for online pharmacy: Zenrelia 15mg 1.5 tablets SID ongoing. 

Nurse initial: AC

Medication requested: Zenrelia 15mg

Any change in pets condition/symptoms: O says skin has improved

Current dose being given (note any differences): 1.5 tablets SID

Any change in demeanour:  Nil

EDUF, any changes: Yes

Vomiting/Diarrhoea: No

Collection date: ASAP

Date of next revisit required: Needs vet consult to RV Zenrelia response, app booked with Dr. Dala Thursday

Any other concerns/questions: None

Reason: Courtesy phone call 
Nurse: kelsey
History: cysto and sedation

ttponalm