C09996178 / invoice 10000

Appointment Reason: 16 Week Vaccination, Appointment Notes: VD  ------- Sms reply: YesPresenting for 3rd vaccination. BIOP 3-4 weeks. Appetite good. Drinking seems normal. Toileting OK. No V+; loose stools - since obtained. 2 other cats at home - getting along well. Applied Nexgard topically recently. Feeding - Hills wet and dry kitten. Will eat dog biscuits and adult cat biscuits also. No coughing or sneezing. Panting and drooling with car travel. Demeanour: BAR, stressed - was open mouth breathing/salivating and defecated in car with travel.BCS: 4/9MM: pink, moist, CRT <2sEENO: no ocular discharge, ears clean.Dental grade: 0/4, gingivitis where permanent dentition errupting Resp: RR: 60; no wheezes or crackles auscultated. Settled to 30 after letting settle in consult. Cardiovascular: HR: 200 = PR, No murmurs or arrhythmia noted. Abdo: WNL, no abnormalities detected, allowed deep palpation without pain.LN'S: WNLMSK: WNLInteg: WNL, faeces ++ around bottomNeuro: WNLUrogen: WNL, sterilised male Temp: 38.0Assessment: - Apparently Fit for Vaccination - Chronic loose stools | DDx: dietary, infectious, inflammatory, FB, other - Travel Anxiety/NauseaTx: - F3 SQ neck - Prokolin BID until stools formed. Plan: - O to obtain faecal sample for PCR; consider dietary change to Hills i/d kitten. INSI consider Fenbendazole/Metronidazole. - Sent home with Kitten pack and Nexgard Spectra sample.     Vital Signs    Weight: 3.8;