C09997411 / invoice 10000

REASON FOR VISIT - Annual Health check & vaccination HISTORY- Bailey is a 8.5yr old Sheltie presenting vaccination today after it was delayed last week after continued antibiotics for GI disease/ diarrhoea. O states that Baileys has improved significantly since finishing his second course of ABs. Since then all E/D/D/U  normal and O is happy to proceed with vaccination. Exam - HR / PR =120 RR =pant Temp = 38.3 MM = PMBAR, mm-pink, moist, CRT<2EYES: PLR, dazzle, menace, palpebral reflexes wnl, pupils symmetrical in sizeNOSE: clear, no dischargeEARS: clear AUORAL: Normal scissor bite H/L: No murmurs auscultated, Normal respiratory sounds, eupneic, clearPLNS: no enlargementsABD: soft, no reaction to palpation, nsfM/S: ambulatory x 4 normal gait, no pain elicited on spinal palpation or manipulation of neck or extremitiesNEURO: cranial nerves intact, CP wnl x 4, normal gait, reflexes intact, nsfSKIN: no swellings or lesions notedUG: nsfAssessment - Healthy for vaccination Treatment - C4 704400303 11/27CCi 797303403 12/27Plan - Return in 12 months for next health check and Vaccination.Other Treatment Given / Medication dispensed :- C5 1ml SC withers region 

REASON FOR VISIT: GAPONLY PLEASEIs pet insured - IF A PUPPY/KITTEN Petplan IVC signed up today by ( ) after vet visit = Vaccination History - Parasite prevention - Any health problems - On any medication - On any special diet - Previous Vet Hospital - Consultation notesHR / PR = RR = Temp = MM = OTHERS:O:EENT : Eyes clear no d/c or signs of inflammation.- No signs of dental dz - no nasal d/c - ears clean not inflamed or red NAD - no inc upper airway sounds THORAX: Lungs: normal BV sounds bilaterally; no crackles or wheezes detected - Heart auscultation: Normal rhythm, No arrhythmia, No murmur noted ABDO: Soft and comfortable on palpation, no pain or organomegaly noted, kidneys smooth and round , soft intestines with no inc in gut sounds LN: NAD & WNL INTEG: Coat is soft and clean; No lesions, inflammation or parasites detected.Genitourinary: NAD : no discharge or odour Bladder wnlMSk/NEURO: NADA: DDx - P:Treatment Given / Medication dispensed :R/V:BLOOD RESULTS:- OWNER OFFERED BLOODS - ACCEPTED OR DECLINED

REASON FOR VISIT: not eating since the weekend, diarrhoeaConsultation notesBailey a 8yo sheppdog MN presented today due to diarrhoea since Thursday. Vomited white froth yesterday. Diarrhoea looks dark brown, drinking lots of water, no change in diet. BAR, but O said he's not as active. Dental disease grade 2-3. If no improvement with antibiotics and probiotics, advised to bring a poo sample to be sent off to the lab. HR / PR = 120 RR =35 Temp = MM = pink OTHERS:O:EENT : Eyes clear no d/c or signs of inflammation.- No signs of dental dz - no nasal d/c - ears clean not inflamed or red NAD - no inc upper airway sounds THORAX: Lungs: normal BV sounds bilaterally; no crackles or wheezes detected - Heart auscultation: Normal rhythm, No arrhythmia, No murmur noted ABDO: Soft and comfortable on palpation, no pain or organomegaly noted, kidneys smooth and round , soft intestines with no inc in gut sounds LN: NAD & WNL INTEG: Coat is soft and clean; No lesions, inflammation or parasites detected.Genitourinary: NAD : no discharge or odour Bladder wnlMSk/NEURO: NADA: DDx - poss gastroenteritis vs extraGI causes (pancreatitis)P:Treatment Given / Medication dispensed :metronidazole 250mg- 1/2 a tablet BID and prokolin 3ml BID. R/V:BLOOD RESULTS:- OWNER OFFERED BLOODS - ACCEPTED OR DECLINED