C09993758 / invoice 10000

Reason: Lump Is BleedingAppointment Notes: Overdue remindersHistory:L side white stuff in the hole, burst cyst Has a lot of little lumps Noticed yesterday EDDU normally, plastic cone at homeL chest burst cyst Worming/Heartworm/Flea control status:Vaccination status:Nutrition:Examination:COAT/SKIN:EYES/EARS: MOUTH/TEETH:HEART: LUNGS: ABDOMEN/DIGESTIVE/URINARY: CNS/MUSCULOSKELETAL: PERIPHERAL LYMPH NODES: WEIGHT/DIET: Body Condition Score:REPRODUCTIVE: Assessment:Laboratory:  Treatment:4 x Metacam 2.5mg tabs - 1 tab SID with food. Stop if v+/d+ or not eating Noroclav 500mg - 3/4 tab BID PO for 10 days with food Plan:Recheck INI or worsening E-collar if licking, has at home    Vital Signs    Weight: 23;       BodyScore: 7;       

Reason: VaxAppointment Notes: Paws App Details:Booking Type: ConsultationBooking Notes: Just check up and injections per email follow upGenerally doing well ato home. O has no concerns with P's health other than current Flared up ear and eye issues.Stopped the eye medication since last 6 months due to the suspected IMTCP at referral.Will get the prescription for ears next week.Preventatives: nexgard spectra UTDOther current medicines: noneDiet: Dried food for breakfast, added protein (raw meat portion) from pet barnOtherwiseNo vomit,diarrhea,cough, sneezeNo gait abnormalitiesNo extreme lethargyNo change in urination/drinkingEDUD goodExamination: BARDental 2/4 plaque, halitosisHR: 90PantingCardiovascular: HR and rhythm normal, nil murmurs audible, good pulse amplitude.Respiratory: RR and effort normal, normal bronchointerstitial lung sounds onauscultation.Neurological: full neurological examination not performed. Normal mentation.Musculoskeletal/Gait: full MSK examination not performed.Gastrointestinal: Abdomen comfortable on palpation. Nil abdominomegaly palpable.Integument: multiple 0.5 -1 cm or over raised nodules allover the body, no inflammation/erythemaOcular: both eyes mild to moderate ectropion, watery eye discharge, browinsh staining around the medial canthus.Otic: dark bown ear discharge with mild to moderate inflammation in both earsLymphatics: Nil abnormalities.Rectal: not performed.Hydration: euhydrated, mm moist, skin tent WNL, fpssAssessment: Fit for vxTreatment:C4 given s/c, bronchishield oralPlan:Need weight management.Balancing the new protein with dry food. Multiple frequency of feeding, increased and controlled exercise.O aware of Ears and eyes issuesNeed dental s & P    Vital Signs    Weight: 23.4;       

Reason: See How Went O/night??Appointment Notes: Overdue remindersO called to advise P was taken to MRVH and was awaiting report post ultrasound + diagnostics.Call MRVH on 12/09 to obtain HX - msg leftVB---- MRVH hx attached    Vital Signs