C09998583 / invoice 10000

Appointment Notes: Booked Online: 01/03/2026 07:36:00 AMBooking Type: Health CheckBooking Notes: Unsure if she needs anal gland expressing as has been given worm prevention treatment but is sitting as if has worms.HISTORY:  Recheck consultation for a puppy. Previous UTI is resolved. The puppy is doing very well. Owner reports sitting and scooting, suggesting anal gland discomfort. Appetite and thirst are normal. Faeces have been soft on occasion, but no vomiting or diarrhoea. Anal glands were palpated externally and noted to be full. Current meds: noneVaccination: Not mentionedParasite Prevention: Not mentionedPre-existing conditions: History of UTI, now resolved.Access to toxins eg. Rodenticide: none EXAMINATION:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:Oral: normal, no mouth pain, dental score (1-4): not gradedAbdominal: no detectable pain on abdominal palpationRectal: Both anal glands were full and manually expressed internally. A watery material was expressed from both glands.Urinary: NSFReproductive: NSFIntegument/Ears: NSFLymph Nodes: NSFEyes: NSFDemeanour/Behaviour: Bright and happy. PROBLEM LIST:Full anal glands. DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Anal sac impaction. DIAGNOSTICS:None ASSESSMENT:  A bright, happy puppy presented for scooting behaviour. Examination was unremarkable aside from full anal glands, which were manually expressed. TREATMENT:  Anal glands manually expressed. PLAN:Recheck as needed. Home into owner's care. CLIENT COMMUNICATION:Discussed examination findings with the owner. Advised to monitor for recurrence of scooting and to return for re-evaluation if symptoms persist or worsen.--- 05/03/2026 10:50:39 AM TN4:Examinations - 04/03/2026 13:57:08 PM TN4 Deferred: awaiting notesResolved - Sent FUT    Vital Signs    MMColour: pink;       Weight: 3.7;       Temperature: dnt;       HeartRate: 124;       RespirationRate: pant;       CRT: <2;