C09996673 / invoice 10000

Reason: d+ for 48 hrs kbHistory:Cooked beef mince then d+ Just chicken past few days Prokolin paste no improvementNo food since last nightD+ In between soft serve and liquidSome blood unsure colourNo v+Past few months on and offNever really had issue in pastCovered in wartsAppetite excellent - even at moment, but hasnt fed todayUTD FTWNo lethargy normal behaviour Diet:Worming:Heartworm:Flea/tick prevention:Vaccinations: Current medications:Examination:Temperament: (°C): ***Cardiovascular: HR: ***, no murmurs or arrhythmias, femoral pulses strong & synchronous, oral mucous membranes pink & moist, CRT 1 second.Respiratory: RR: *** Eupnoeic, no crackles/wheezes on auscultation. Oral exam: no signs of periodontal disease. No fractures, gingivitis, periodontitis, or odour. Dental grade ***Eyes: WNL – No pain, discharge, erythema, or opacity. Ears: WNL – No inflammation, discharge, erythema, or odour. Nose: WNL – No discharge or erythema. Patent nares with no stenosis Peripheral lymph nodes: WNL – Palpated with no obvious abnormalities Integument: Full coat, normal skin tent. Abdominal palpation:  Palpated with no obvious pain, tension, or abnormal structures.Gait: Readily ambulatory, no ataxia or lameness.Musculoskeletal: WNL  - Able to right, rise and ambulate without difficulty. BCS 5/9.Neurological: Mentation & responsiveness appropriate, full exam not done.Urogenital: WNL on external examination. Rectal exam: soft normal faces /  Not performed.Current problems:Assessment:Plan:Client communication:External Lab screening test in unwell Dog- depending on indication, either select Idexx TAHP, TAHPW (incl CRP) OR CTHP (incl CPLI) all non interpreted and interpret inhouse  OR Idexx Canine screening profile (Interpreted)- Interpreted tests options= CTHP+ (incl CPLI) or GER2  - ALL CHARGED OUT THE SAME IN UNWELL DOGLABORATORY: Idexx Procyte, Chem10/15 ,electrolytes, SDMA & T4 - add CRP & CPLI if appropriate ASSESSMENT:    Vital Signs    Weight: 6.5;