C09995624 / invoice 10000

Appointment Reason: Vaccination, Appointment Notes: ******************GAP PAY**************PLS ADVISE RECEPTION TO PROCESSVETSTORIA  Melissa Dunne (0400305089 melissadunne7@gmail.com) with Archie (Dog) - Vaccination (Yearly Vaccinations/ Check Up Potential Anal Gland Expression)Web BookingClient name: Melissa DunneContact number: 0400305089Email address: melissadunne7@gmail.comPatient name: ArchieHas been well, owner has no concerns. Had Duramune last year.O: Eyes, ears, nose and mouth healthy. Chest sounds and abdominal palpation normal. Skin healthy. Neuromuscular exam unremarkable.P: Vacc booster to C5 level - Protech Pi2 sc plus Protech Bronchi-Shield Oral.    Vital Signs    Weight: 41.3;       

Appointment Reason: VaccinationH: Adopted 2mo agoLast 1mo has had big liquid vomits occasionally after  evening walk, has ot done it again since making this appt.Only happens when he has an empty stomach. He exercises, drinks water, lays down and gets up 15min later to vomit. maybe looks like regurg as there is a burp before it and happens quickly.Has been well in himself, owner has no other concerns.O: Eyes, ears, nose and mouth healthy. Chest sounds and abdominal palpation normal. Skin healthy. Neuromuscular exam unremarkable.A: vomit vs regurgitationP: Vacc C5 - Duramune C4 sc plus Protech Bronchi-Shield Oral.Discussed difference between v+ and regurg for O to try to see which one he does, to help target rx or diagnostics. Recheck if v+ is continuingDiscussed proheart inj - has had this in the past with prev owner, O considering changing to NG spectra    Vital Signs    Weight: 35.15;       

Appointment Reason: Health CheckH: Adopted last wk. Has been a well dog. Dental performed recently. UTD NG Spectra and tapewormer q 3 months. O's have another Golden at home.E: BAR, lovely boy!Overweight. Ideal BW ~32kg. Sighted desexing tattoo. Clean teeth. Thoracic ausc, abdo palp and neuromusc exam all ok. A: Healthy dogP: Due vacc Feb 2025.    Vital Signs    Weight: 35.4;