C09998531 / invoice 10000

Reason: Lame after stepping in a hole in the dog parkAppointment Notes: Huayra (Dog) - Isaias Echer - +61401907915 - Consultation Standard (one concern and rechecks) [Clinician : Dr. Louise Schaffer(No Preference)] - she is been walking lame after stepping in a hole in the dog park  - referal Web BookingClient name: Isaias EcherContact number: 61401907915Email address: isaias.echer@hotmail.comPatient name: HuayraSubjective and history: Playing in the dog park on Tuesday, ran through a holeStarted limping after on RHL Lameness has stayed the same since EDDU ok, no v+/d+Objective: BAR, nervous but did well in consult w treatsBCS 3.5/5MM pink, CRT <2sec, teeth goodHeart/chest ok, no murmurDiscomfort on palpation on digit II RHL- repeatableStifle and hips okAssessment: RHL digit II pain- r/o soft tissue injury/musculotendinous sprain/strain v fracture v luxation v otherTreatment: Declined xrays- would like to monitor conservatively for now1. Carprofen 2.2mg/kg PO SID 7-10 days + RESTPlan: INI recc xrays under GA (call by Monday)    Vital Signs    Weight: 23;       

Reason: Puppy VaccinationSubjective and History: Doing well, no health problems reported. Bright, alert and responsive. Eating, drinking, defaecating and urinating normally.UTD Simparica Trio- due t/m Acquired Woolies insuranceTeething- finding teeth at homePhysical Exam:Nervous but good when going slow w treatsBetter than last visit! MM pink, CRT <2sec teething, mixed juvenile and adult dentitionHeart/chest ok, no murmurAbdo okLN okNo hernia Assessment: HealthyFine to proceed with vaccinationTreatment: 1. DHP SQ2. Lepto Nobivac (2 of 2) SQGood w vacc w lickimat distraction and 25g Plan:Cont Simparica Trio    Vital Signs    Weight: 15.6;       

Reason: Puppy VaccinationAppointment Notes: Booked online - nmSubjective and history: Acquired from breeder in Newcastle on Saturday (5 days ago)EDDU ok, no v+/d+ Diet: puppy kibble + raw minceDesexed and microchipped C3 5/11/25 (3 weeks ago)Simparica trio 27thPhysical Exam:BARVery nervous but good when went slow and with lots of treats, liked lickimatBCS 3/5MM pink, CRT <2sec, teeth goodHeart/chest ok, no murmurAbdo ok, no herniaLN okAssessment: HealthyFine to proceed with vaccinationTreatment:1. DHP SQ2. KC intranasal3. Lepto Nobivac 91 of 2) SQDid great w 25g needle and lickimatPlan:Discussed insurance and puppy class, gave puppy packFinal vacc 4 weeks (just before xmas)    Vital Signs    Weight: 11.5;