C10000528 / invoice 10000

07/03/2026 Record complete Y/N

Reason/concerns:  
- 
- Scratching at R ear 
- Recheck ears 
- Lump on L side on muzzle on lip - first notice 5d ago, and a lot more red and now less inflamed 

History:
- aqpoeul 
- 

Pre-exisitng Conditions / Medications:
- No pre-exisitng conditions noted at the time of examination
- No medications currently being provided at the time of examination

Preventative Healthcare: Vaccination and parasite (flea, intestinal worms, heartworm).

Examine: 
Mentation: BAR
BCS:                           /5   
MM: Pink          
CRT: 1-2 seconds
HR:                             beats/min
RR:                             breaths/min
Temperature:      39.1        degrees Celsius

Ocular: No abnormalities noted on cursory examination of both eyes.
Oral/Dental stage: Some gingivitis and calculus observed.
Ears: No abnormalities noted on cursory examination of both ears.
Cardiovascular: No audible murmur or arrhythmia and no difficulty hearing the heart. HR = PR and no evidence of hypoperfusion.
Respiratory: Respiratory rate and effort considered normal for the patient.
Gastrointestinal: No pain on abdominal palpation. No masses or abnormalities palpated.
Integumentary: No significant abnormalities.
Musculoskeletal: Normal gait and strength noted. No evidence of lameness.
Urogenital: No significant abnormalities noted during routine physical examination.
Neurological: No evidence of neurological impairment or altered mentation. Detailed neurological examination not performed today.
Lymph nodes: Within normal limits for mandibular, prescapular and popliteal examination.
Problem List:

Patient Assessment: 

Diagnostics performed (i.e. bloods, radiographs/ultrasound, ear cytology, urinalysis):
- None performed 

Treatment with medication 
dose rates (if any):

Client Communication
& Plan: 
(see attached vetcheck client information sheets if provided)

Redo apoquel script 
recheck ears 10d 
vax when in next 

On-going medications required: Y/N (use prescription tab for further supply):

Next check up date: