C09990354 / invoice 10000

History:
Has been showing undesirable behaviours. O hasn't  decided if she will get him desexed, but he is very interested in female dogs, Is related to Amber who does have occasional seizure (but O thinks related to Nexgard). Generally well, EDUD okay. 

ExaM;
BAR, NAD. 

Assessment:
Likely behaviour changes related to adolescence. 

Plan:
Discussed suprelorin vs desexing. Suprelorin has reportedly been associated with seizures (though very very rare) so O will consider whether to do this or desexing surgeyr. 

Last puppy vax

Prior vaccination (C5 4 weeks ago)
Worming up to date (yes)
Flea AND TICK control up to date (no - wants to avoid Nexgard as another dog had seizures on it, so will source Frontline Plus)
EDUD normal
Diet of (Barf raw food)
Client reports no concerns

CLINICAL EXAM:
BCS (5/9)
Demeanor (BAR)
MM (Pink), (Moist), CRT (1 sec), Skin Turgor (OK)
Dentition (WNL)
Thoracic Auscultation - HR (140); Heart sounds (), Lung sounds (No adventitious breath sounds)
Peripheral lymph nodes - (Normal)
Eyes, Ears, Nares - (normal structure and conformation)
NAD otherwise.

VACCINATED
Nobivac Flex DHP Triannual C3 B:2430602, exp: 10/2026

DISCUSSION
Discussed vax protocols, parasite prevention, socialising.

 

puppy pack - preferred milbemax as had previous dog that seizured from nexgard