C09991177 / invoice 10000

Reason: Seems Very Lethargic And Not Herself-Ec Appointment Notes: UTD on prevention but due sunday this week, o cant feel anything on herHistory: Lethargic today, not wanting to move as much Seemed ok last night, ate normally, although O was at office yesterday so not monitoring as closely Indoor/outdoor - indoors at night Grazes Flea/tick = felpreva due now No ataxia Recent history: Jan 2026: TAHP GGT 18 (0-5), rest nad June 2025: gingival hyperplasia LLPM1 Aug 2021: Cat fight cellulitis above R eye. Convenia, meloxicam.Examination: QAR, nervousAmbulating normally, no ataxia Temp 38.6Mm pink, moist. LLPM1 as previous, gingival hyperplasia, still suspect FORL but no pain on palpation Nad rest of oral exam Heart sounds normal, HR 160RR 40, normal effort and lung sounds LNs normalNo wounds found Spine not uncomfortable Anal glands palpate okAssessment: Lethargy, possible hyporexia - no cause found on exam. Ddx open Plan: Discussed bloods, O declined today To monitor, will recheck if no improvement or worse    Vital Signs    Weight: 5.14;