C09991943 / invoice 10000

Reason: UnwellAppointment Notes: Overdue remindersHistory: On and off mild d+ over past few months - soft but not liquid, occasionally at inappropriate locations D+ worsened yesterday. Seen small amount blood in poo. Small soft poos. No v+. Appetite down today. Lethargic not herself. Not barking as usual. Didn't finish her kibbles - unusual of her. Prevention: UTD NGS Diet chicken & rice, cooked carrot/pumpkin, savourlife kibbles, greeniesExamination: BAR, nervous, can be snappy BCS 7/9 MM pink moist <2s CRT EENM: NAD. Dental grade 2 difficult to assess caudally Cardiac: HR 120, no murmur/arrhythmia, SSFP Thoracic: RR pant, normal lung sounds bilaterally, normal resp effort/depth. Integ: general skin/coat condition normal, no ectoparasites/lesions visualised/palpated. Abdo: tense on abdo palpation, yelped during mid abdo palpation - pain vs. Demeanour MSK: weight bearing and ambulating well on all four, NAD. Neuro: normal mentation, full exam not performed LNs: WNL Temp: 39.5Rectal: not performed, already very reactive with rectal temp Laboratory: Bloods taken L jugular for TAHP - rec for general wellness screen + rule out some extra GI causes of lethargy - O consented Assessment: D+ Inappetence Mild pyrexia Treatment:Prevomax 0.7ml SQProkolin 3ml BID x 5d Metronidazole 15mg/kg PO BID x 5dConsent has been given by the client to proceed with this treatment - Yes Plan:Awaiting TAHPRV tmr if no improvement/any worse    Vital Signs    

Reason: Sore On Neck CCRRAppointment Notes: we rescheduled from 27/09 AM  ------- Sms reply: YHistory: Eddu nad O saw a lump on neckPreventatives:utdHeartworm:Worming:Flea prev:Examination: TPR wnlBCS :5Mentation:BAROral   DS:1Ears:cleanEyes:clearCardioresp:nadGI:nadUrogenital:nadSkin:mediodorsal small flat black lump on neckLymph nodes:wnlMusculoskeletal:amb x4 Behaviour:friendlyLaboratory:NilAssessment: Fit for microchipLump to small to sample - monitor for nowTreatment: Microchip between scapula scConsent has been given by the client to proceed with this treatment  -  Yes/No Plan:Monitor lump for now--- 07/10/2023 09:12:15 AM KAN:Examinations - Resolved - sms sent    Vital Signs    Weight: 6.6;       

History: Dude normal on Nexguard spectraExamination: Ears and eyes normal Mouth normal  teeth Grade 2 dental Auscultation chest normal no murmurs lungs normal Abdominal palpation normal LN normal Laboratory: Assessment: Fit to vaccTreatment: C4 BB oral   1 popantel Consent has been given by the client to proceed with this treatment  -  Yes/Plan:Yearly vacc Quote for Grade 2 dental  to be sent--- 21/12/2022 08:55:04 AM DUI:Vaccinations - Resolved - txt sent - id    Vital Signs    Weight: 6.6;       HeartRate: 80;       DentalGrade: 2;       RespirationRate: 16;       Temperature: 37;       CRT: <2;       MMColour: pink;       BodyScore: 5;