C09999691 / invoice 10000

Appointment Notes: Vaccination Reason: VaccinationHistory: Parasite control: monthly - NGSExamine: 1. BAR2. Vitals: mmbs pink3. Body condition:  normal4. Oral exam:  v mild dental tartar5. Eyes: no d/c or inflamm6. Skin / ears: ears fineSmall area excoriation rhs ventral abd that has had since groom 1 week ago7. Auscultation normal8. Abd palpation: NAD9. Palpable lns: normal10. Anal glands / perianal area: NAD Treatment: INKC: Nobivac KC #3/3Topical neocort bid up to 7dd to skin abrasion    Vital Signs    Weight: 10.2;       

Reason: Sore SomewhereHistory: has been quiet & back arched a but, yelped a few times, otherwise wellEDDU: normalExamine: 1. BAR2. Vitals: nad3. Body condition: nad4. Oral exam: mild tartar5. Eyes: nad6. Skin / ears: nad7. Auscultation: nad8. Abd palpation: nad9. Palpable lns: nad10. Anal glands / perianal area: nadMSK: sore lumbar back, no neuro deficits, walking wellAssessment: back pain, poss soft tissueTreatment: rest, gaba, meloxicam - start at homePlan: rv if not improving    Vital Signs    Weight: 9.6;       

Reason: VaccinationHistory:Going well at home EDDU: NADDiet: hills perfect weight + meat add ins No vomiting or D+ NGS monthly Examine: 1. BAR. Nice dog 2. Vitals: MM pink and moist, CRT 1-2s3. Body condition: 5-6/94. Oral exam: mild-moderate calculus upper canines, otherwise mild 5. Eyes:  nad6. Skin / ears: NAD 7. Auscultation: NAD8. Abd palpation: soft and comfortable 9. Palpable lns: NAD10. Anal glands / perianal area: -Assessment:1. Healthy on exam - fit for vax. Discussed dental hygiene; brushing techniques etc Treatment:KC vax IN - tolerated well Plan:1. Return 1Y for KC vax #3/3. Implement tooth brushing over this time.    Vital Signs    Weight: 10;