C09995023 / invoice 10000

Reason: D+ For A Few DaysAppointment Notes: on blands alreadyHistory: 2/1/26 started D+. Liquidy brown, no blood. Os were away with her, forgot her regular food and bought some different food. Also got some sausages etcAte better last 24 hrs, chicken and rice only fed. No V. Hasn't pood today. No medsGets a gunky ear, one ear onlyHas had D+ before but never longer than 24hrsStill had good energy throughout, still going on daily normal walkExam: OMMs pink. Slightly tacky. HR 64. Fem pulses synchronous. PantingAbdo palp NAD. Comfortable. Nil fs in colonT38.5R ear clear. L ear mild brown d/c. Mild hair. Cytology: L ear: mal + (5-6/HPF)Assessment: D+ likely due dietary change/indiscretion ddx infectiousSuspect is resolvingOtherwise if recurrent consider Addisons as HR on the lower side. Mal OE low gradePlan: Just monitor the D+. Continue chicken and rice and then if no D+ after a few days then slowly increase the amount of the regular dry food fedIf recurrent or any V/lethargy would check bloods inc lytes. If well in self but just D+ persists then send out fec sample for D+ PCRPMP 0.5ml L ear BID x 2-3wks    Vital Signs    Weight: 19.4;       

Reason: Lepto Booster MM A001A02 Exp 02/26    Vital Signs    

Reason: Vacc, No Concerns EWAppointment Notes: O called and rescheduled from 8/30 this morning - MHCame in with owners; MitchH:Doing well at homeNo specific concerns todayNexgard spectra monthlyPE;BARMM pink, moistCRT 1-2G1 dental diseaseHeart and lungs clear on auscultationHR WNLRR WNLAbdo palp comfortable, NADPeriphearl LN WNLFemoral pulses strongA:- Fit for vaccination. On older generation C2i for lepto. Continue or switch to nobivac lepto 2. Owner elected to switchP:- Administered nobivac flex DHP + Nobivac Bb/Pi SC - Administered nobivac lepto 2 SC.- Lepto 2 booster in 2 to 6 weeks time. Owners will call to book in once they know their movements. Can be done with nurse- Continue nexgard spectra monthlyVaccinations: DHPPi, Kennel Cough    Vital Signs    Weight: 19.6;