C09992355 / invoice 10000

Appointment Notes: INSURANCEVETSTORIA - Rose (Dog) - 0 Consult - Standard Sick/injured [Clinician : Dr Kayt Playford(No Preference)] - Needs sedation to clip claws and clip in between paws -Web BookingClient name: Leanne CooperContact number: 0408583147Email address: jordib@bigpond.net.auPatient name: RoseWould like to get vaccination UTD today pls. Is on something monthly for fleas and ticks, doesn't cover HW. Happy to get inj done today, have advised may need HW test. - BWHistory: Needs to be sedated for nails and to shave pawsWalking funny last night -- Leanne felt a knot/rock in the fur between her toes, but she bites with her feet being touched so Leanne couldn't examine it furtherReally stiff and sore in her hips - started last year Usually one day sore and the next day is betterStiff when she's getting up but not limpingVaries which leg she seems stiff onLeaps off the verandaDiet: 1/2 chicken breast SID, pet store kibbleFlea/tick: Yellow packet -- thinks it is for fleas and ticks -- showed Advocate packet and Leanne thinks that is  it Deworming: maybe UTDEDDU normally, no V+/D+   Examination: BARLimited exam due to temperament and history of biting with foot exams -- best to RV to examine with PVPs +/- sedation Ambulating normally in consult Eyes - wnl Heart - sounds and rhythm normal Lungs - clear Assessment:Stiff in HLs when getting up -- Possible DJD vs other ortho disease (HD vs other)Matted fur between toes, long nailsPlan: RV with PVPs for: - Vet Ortho exam on admission, - Vaccination (DHP + KC), - HW test & HW injection, - Sedate Nail trim, - PLEASE CLIP FUR BETWEEN TOES (previously a foot was missed and she had to be re-sedated). Consider GA xrays if anything concerning on ortho exam.Leanne to check flea/tick/worm/HW preventionPVP Medications dispensed: - Gabapentin 45mg/kg (1200mg) + Trazodone 10mg/kg (300mg) -- PO 2 hrs prior to appointments    Vital Signs    Weight: 30.1;       MMColour: Pink;       RespirationRate: 140;       HeartRate: 120;