C09998834 / invoice 10000

Reason: Health Check And Nails Appointment Notes: Booragoon Hx attached ab.Paws App Details:- NEW CLIENT -Booking Type: New Client ConsultationBooking Notes: Hello, Rex is very hungry, more so than usual, so not sure if he has worms. Grateful for advice and also a nail trim. Owner May we request your pets history?: YesOwner Who is your previous Vet?: Booragoon vet clinic / Sage VetsPet Insurance Provider & Policy No (if applicable & not provided): Bow wow meow BW02113920 Original Appointment Type: Consultation longHistory: Has been very hungry for the last 6 weeks Just started on worming tablet from supermarket over the weekend No changes in drinking or panting No V+ or D+ No other concerns Current Medication: none Examination: Demeanour: BAR, extremely anxious BCS: 5/5HR/PR: 160. No murmur or arrhythmia, pulses strong and synchronous RR/Chest: panting. Normal effort and BV soundsMM/CRT: pink, moist/1.5Oral/Teeth/Gums: stage 2 dental disease Temp: not taken Ears: external pinna clean Eyes: nad LNs: SM, PS, P wnl Abdo/GIT: very tense U/G: not assessedM/Skel: ambulating well Neuro: mentation appropriate, no obvious deficits Derm: good coat quality, no lesions noted Problem List:1. Polyphagia 2. Weight gain A: problem 2 would be secondary to problem 1. Discussed most likely underlying cause would be metabolic disease - recommend getting bloods as first step to investigate further, O consented. Is aware that hypoT and Cushing's will require additional testing to definitively confirm, but we should be able to rule out DM. Parasitic disease less likely as would not expect such significant weight gain as well. P: await CWP results    Vital Signs    Weight: 6.3;