C09996665 / invoice 10000

VL:   JCHistory:      Owner concerns:   When Billy runs around she often pants afterwards with open mouth breathing.  Had an ultrasound for suspected HM but nothing found.Current Preventatives/Vaccinations:  June 2025Physical Exam:Behaviour:               Cardioresp:           MM pink with normal refill.  Sneezes if Emily puts perfume on.  Not on a regular basis though. HR 180 bpm.  Clear sounds.  Apparently has a really loud purr.Temperature:        Not taken.Skin and coat:      Has grown back and is lovely.Eyes and Ears:     Clean and clear.Musculoskeletal:  Not checked.Abdominal:          Not checked.Genitourinary:      Not checked.BCS:                    5/9Dental score:        Diet:                     Proplan kitten.Problem List:      Heart/lungsDifferential Diagnosis: Feline asthma.  Heart issues.Diagnostics:        Blood taken for ProBNP - result <50 (normal)Medications:       Waiting on blood test results.Recommendations Ongoing/Recheck: Normal life until results are in, could there be underlying feline asthma/inflammatory airway disease?

VL: AGHistory: her appetite decreases, this morning she wasn't cuddly this morning which is unusual of her, no vomitting, normal stoolOwner concerns: inappetance, not herselfCurrent Preventatives/Vaccinations: F3Physical Exam: mm: pinkish and moistBehaviour: calmCardioresp: HR: 180, no murmur (tried to listen with different stetoschope)Temperature: 38.5 Skin and coat: NADEyes and Ears:  NADMusculoskeletal: NADAbdominal: comfortable upon the palpationGenitourinary: NAD, BCS:Dental score:Diet: proplan wet food mixed with chickenProblem List: inappetanceDifferential Diagnosis:-Diagnostics:-Medications:-Recommendation:- Monitor her at this stage but if no improvement, do blood test

Emily sprayed a Tea Tree mixture (animal safe on label) over her lounge and around the house.Billy smelt like Tea Tree later in the evening.  Emily has huge anxiety issues and went into overdrive above Billy being poisoned and started googling.Billy ended up being shaved all over with a little bit off the tail.  Emily now upset that she read clipping the tail affects her balance.  Also worried about Billy breathing up a bit.On presentation, Billy has normal coloured gums, tongue and throat.  No abnormal breathing today but is a cat flu kitty and may have been a bit stressed at the time from the grooming.  Has actually done a good job of shaving although totally unnecessary.  Trimmed up hind quarters a little bit and crutch area.  Tail has a couple of chunks out of it but nothing major.  Assured Emily Billy is in no danger from loss of balance as an inside only cat.  Now worried about sunburn when taken out on a lead.  Nice layer of white velvet left on skin so won't get burnt.  Emily admits she is over the top with anxiety where Billy is concerned.