C09995504 / invoice 10000

Appointment Notes: Overdue reminders--- 5HISTORYPresenting for: George presented for acute vomiting that occurred multiple times when the owner arrived home from work.V/D/C/S: Multiple episodes of vomiting occurred when owner returned home - initially thick pasty brown vomit, followed by additional vomiting episodes including some biscuits. Patient had normal bowel movement after dinner last night and normal urination this morning.Diet: Fed biscuits on the ground which both dogs were eating normallyCurrent Meds: Up to date on flea, tick and worm preventionLifestyle Risk Factors: Fully fenced backyard area where incident occurred. Does not typically pick up items on walks. Has fixation with small lizards around garden rocks when outside the fenced area.Other: Patient is typically sedentary during the day when owners are at work (monitored on camera) and gets excited with zoomies when owners return home. Had been in car and upstairs prior to vomiting episodes. Never previously had vomiting issues. No interest in chewing toys or household items.EXAMMentation: BARWt: 25 kgT: 39.3°CAbdominal: Soft and comfortable on palpation, no masses or abnormalities detectedBehavioural: Excited and worked up during examinationASSESSMENTAcute vomiting - no obvious underlying cause identified on physical examinationPLANNew Meds/Tx:- Anti-nausea injection administeredAdditional Discussion:- Patient to remain at clinic for observation while veterinarian attends to another case- Monitor for improvement as adrenaline settles- If condition deteriorates, blood work and overnight hospitalisation may be required- Owner to return home and monitor if patient remains stable    Vital Signs    Weight: 31;       

Reason: SR12Appointment Notes: Overdue remindersHistory: Been well, EDDUGetting HW today to line up with vacc in 8 months - have set reminder Subjective: Eyes-   n                          Ears-   n                           Resp-    n                        Skin-   n Teeth- C1G0Body Condition-      6/9                   MM/CRT-  pink <2CVS-    nmnaPlan: Preventatives:- Vaccines- Heartworm- Worming- Fleas---- 29/08/2025 9:30:31 AM BHJ:Worming Reminder - Skipped on 7/04/2025Heartworm - Skipped on 7/04/2025Flea - Skipped on 7/04/2025    Vital Signs    Weight: 30.1;       

Reason: VaccinationAppointment Notes: Andrea vetcxnot sure if he's joined the CCC but mentioned it to him for reduced vacc price, he thinks hes already got it?Reason:  Annual C5 vaccination and physical examinationGoing well at home, EDDU all normal except for some diarrhoea in the past few days but has since resolved.Diet RC puppy food.Current Medications and Doses:NilSubjective: Eyes- NAD                         Ears- NAD                         Resp- NAD, RR pant                        Skin- NADTeeth- COGO (deciduous)Body Condition- 5/9                   MM/CRT- pink, moist, <2sCVS- no murmurs, no arrhythmiasPlan: Preventatives:- Vaccines- C5 +C2iHeartworm- nexgard spectraWorming- nexgard spectraFleas- nexgard spectraClient communication: discussed desexing at 1 year old, also wondering if he is overfeeding George but advised that his BCS is good so not overfeeding.    Vital Signs    Weight: 13.3;       MMColour: pink, moist;       Temperature: 38.2;       BodyScore: 5/9;       DentalGrade: C0G0 (deciduous);       RespirationRate: pant;       CRT: <2s;