C09995178 / invoice 10000

Reason: BloodsAppointment Notes: Overdue remindersReason: History: Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:    Vital Signs    

Reason: Injection / ArthritisAppointment Notes: Booked Online: 02/03/2026 09:05:54 AMHISTORY:Overdue vaccinations by couple of weeksHip dysplasia diagnosed with x-rays two years agoReceiving arthritis injections - pentosan - every two months due to previous reactions to zydaxLast injection November, no reaction to that injectionGood response to treatment, remains active with no obvious pain signsStops during extended exercise (over 2 hours), sore for 3 days afterExercise limited to 30 minutes to manage conditionInitially presented as puppy (6-7 months) stopping on walksHip replacement surgery considered but deemed unnecessary due to good mobilityCurrent meds: Cartilage supplement, digestive supplement Vaccination: Overdue - core vaccination due couple weeks ago, kennel cough due in couple weeksParasite Prevention: Not mentionedCurrent Diet: Two-thirds recommended kibble for weight management, 6 carrots daily as treatsEXAMINATION:Demeanour/Behaviour: BAR, bit anxious during blood collection, good for injectionsOral: gr 0, mm pink and moist CRT<2Lymph Nodes: None PalpableCardiovascular: cardiac auscultation normal, no murmur audibleRespiratory: thoracic auscultation clear, normal BV soundsAbdominal: no detectable pain on abdominal palpation, comfortableMusculoskeletal: no lameness reported, good flexion all 4 limbs, good ROM FL but not tolerating pelvic extension bilaterally Skin: Healthy coatEars: ClearEyes: No abnormalities detectedBody Condition Score: 6/9Hydration status (%): well hydratedASSESSMENT:Hip dysplasia with good management on current regimeSlightly Overweight requiring dietary modificationOverdue vaccinationsLABORATORY:Blood samples planned for liver and kidney function monitoring due to long-term medication use. Two samples collected today, incomplete set. Third sample required tomorrow with gaba/trax on board (jumpy and strong)TREATMENT:C5 vaccination administeredPentosan injection administered for arthritis managementPLAN and CLIENT COMMUNICATION:Return tomorrow 12:00 pm for completion of blood samplingPre-medication with calming tablets (to be collected from desk) - give 2 hours before appointment. O aware gaba off-licenseContinue current arthritis management with injections every 3 months - long disc re benefits of this but technically off lciense with no pss coursesReduce carrot treats to 1-1.5 daily due to high sugar contentMaintain two-thirds kibble ration for weight managementMonitor for signs of stiffness or lameness to guide injection frequencyBlood monitoring every 12-18 months for long-term medication safetyNext vaccination due beginning of March annuallyHome into owner's care--- 06/03/2026 09:26:14 AM CJH:Vaccinations - Resolved - General follow up text sent - ES    Vital Signs