C09996669 / invoice 10000

Reason: vax + Synovan- LkAppointment Notes: Overdue remindersReason: Client Present:Nurse:Healthy Pets Wellness Testing: Done Yes / NoVaccination Type: overdueIntestinal worming: UTD NGSHeartworm Prevention: ^Flea Prevention: ^Tick control: ^Microchip: YInsurance and Healthy Pets Plus: Behaviour concerns:Current medications:Current Diet:Type of Shampoo/Frequency:Toileting: NAD__________________________________________________________________________HISTORY:  Presented for GHC, C5 vaccine and synovan injection reported doing well since starting metacam. today is second synovan injection. Current meds: none EXAMINATION:Body Condition Score: 6/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:Oral: normal, no mouth pain, dental score (1-4): not gradedAbdominal: no detectable pain on abdominal palpationRectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: NSFLymph Nodes: NSFEyes: NSFDemeanour/Behaviour: not discussed PROBLEM LIST:Routine vaccination. DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Healthy patient for vaccination. DIAGNOSTICS:None ASSESSMENT:fit for vaccine TREATMENT:  Vaccination administered. protech C4 SQprotech bronchishield oral PO  PLAN:revisit for next synovan next weekCLIENT COMMUNICATION:Discussed the vaccination schedule and the need for a follow-up appointment in one week. A vaccine certificate was provided to the owner.Reason: Nurse: -vaccination -heartworm -worming -flea/ticks Exam: Lab: Assessment: Treatment: Plan:    Vital Signs    Weight: 29.9;