C09998944 / invoice 10000

Reason: Anal Glands + Nail TrimAppointment Notes: my  ------- Sms reply: YesHistory: History: Would like AG emptied and nailsWas not aware that her vaccinations had lapsed- was due for lepto and KC- would like everything to be updated as a in case its needed basisUtd with nexgard spectraDiet: r/c kibble with meat and veggie mix Also has noticed licking of the feet lately Itch score:  5-6/10 Otherwise well and EDDU normalGets dried chicken jerky as a dental treat Examination: Bar, nervousChest sounds normal, no murmurs heard, lungs clear Abdo:comfortableBCS: okay, could be leaner but not too overweight currently Oral: mild yellow tartar building up on the dentition with minimal gingivitis presentEyes, ears, skin: nad, paws are not lick stained and ventrum okay, both ears very clean Ln: peripherals all WNLAG: both full, but easily to express Assessment: Mild dental diseasePruritus of the feet- AD vs cafr- sounds like low level Licking of vulva:Treatment: C3 duramune SC #5262011Protech C2I SC #3291024Nobivac BBPi #2523706Plan: Rec oravet chews for dental hygiene upkeepWeight loss: measure out kibble with veggies as treats and extra fibre for AG    Vital Signs    MMColour: Pink;       RespirationRate: 24;       HeartRate: 124;       Weight: 6;       BodyScore: 6;       DentalGrade: 2;       CRT: < 1 sec;