C09996854 / invoice 10000

Attached hx from Warton road - RS

Reason: Vaccination 
History: 
no concerns at all
diet: hypoallergenic kibbles + some other food form 
- was on it for some GI issue but resolved and since then P only takes 
had 2x back spinal sx with Murdoch
 - EDUF: normal 
 - V#/ D#/ Coughing: none

Current medications: None

What Preventative health cover is being used and do you need to purchase any today? utd with vacc, O unsure which one but does it yearly, had it done at warton road vets (was told due for C5)

Examine: 
Mentation: BAR, nervous but ok for exam and inj with O holding, O said P is nervous but fine
BCS:     3-3.5/5   
MM: Pink and moist          
CRT: 1-2 seconds
HR: 100   beats/min
RR: 20 breaths/min
Dental Stage: 2/4
Temperature:   38.1
Gastrointestinal: No masses or abnormalities noted on palpation
Integumentary: No significant abnormalities noted during routine physical examination
Musculoskeletal: No evidence of lameness, full MSK exam not performed

Assessment: fit for vacc
dental ds, rec cohat

Treatment: 
Vaccination given: MSD DHPPi//BBinj
Batch number: 2532515//2532515
annual vac due: KC1 2027

O to book for cohat, est given to O, mentioned to O with dental promo currently has $50 off but only till mid Apr

Reason: Anal sac expression
Consult Nurse: OA

History:
- O advised has started scooting and licking his bottom again
- AGs were expressed only 2 weeks ago and was wormed then
- O also mentioned has been licking paws as well sometimes
- Currently on RC Hypoallergenic diet with some other food from coles and pet shop
     
Assessment:
- Taken to tx room with OA holding while YF checked the AGs
- Both AGs are small and soft with the right one slightly bigger than the left

Treatment:
- nil

Client Communication:
- Relayed the finding to O and advised that AGs may not be the issue
- Advised O that P could potentially have skin issues or food allergies
- Advised O they can try to cut out all other food and just keep P on Hypoallergenic and see if it helps
- Advised O if no improvements, might be better to come back for a vet assessment

Next Appointment: INI or if any concerns