C09997761 / invoice 10000

Appointment Notes: limping of front legRFL lamenessG3/5Palpation manipulationdigits okcarpus - VERY subjectively reactive on hyperflexionelbow ok - VERY subjectively reactive on hyperflexionshoulder okno external wounds foundLFL okHLs okAssessment:possible carpal/elbow injurysuspect soft-tissue rather than skeletaltx rest and meloxicamif fails to improve --> rads    Vital Signs    Weight: 9.6;       

Appointment Notes: VETSTORIA  Yuna Jang (0405240007 yuna.jang@gmail.com) with Simba (Dog) - Vaccination (Vaccination) - [Veterinarian : Dr. Andrew Park (Preferred Clinician)] -  Web BookingClient name: Yuna JangContact number: 0405240007Email address: yuna.jang@gmail.comPatient name: SimbaExamination:see exams tabVaccination:KCHeartworm prevention:simparica trio + q3m paragardIntestinal worms:simparica trio + q3m paragardFleas/ticks:simparica trio + q3m paragardMicrochip:    Vital Signs    Weight: 8.6;       MMColour: Pink;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Temperature: 38.1;       Abdomen: Normal;       RectalGenetalia: Normal (perivulval fold excessive - keep an eye on this);       Demeanour: BAR;       Gingivitis: 0;       Calculus: 0 (minimal to no tartar - owner scrapes them off using fingernails);       Observation: Normal;       HeartRate: 100;       BodyScore: 6;       DentalGrade: 0;       CRT: Less than 1;       

Appointment Notes: **really early, aware will have to wait**Vx. Can't do anytime earlier.Examination:nsf very healthyVaccination:KCHeartworm prevention:nexgard spectraIntestinal worms:Fleas/ticks:Microchip:    Vital Signs    Weight: 8.8;       MMColour: Pink;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Temperature: 37.8;       Abdomen: Normal;       RectalGenetalia: Normal;       Demeanour: BAR;       Gingivitis: 0;       Calculus: 0;       Observation: Normal;       HeartRate: 140;       BodyScore: 6;       DentalGrade: 0;       CRT: Less than 1;