C10000635 / invoice 10000

Reason: Scratching / Shaking / EarAppointment Notes: Paws App Details:Booking Type: Consultation - Skin, Ear or Eye IssuesBooking Notes: Scratching right ear and shaking his head a lot. Scratching R ear and shaking head last few days.Not had ear infection beforeExamine:     Demeanour: BAR    Eyes:n    Ears: reddened. No externally visible exudate and minimal exudate on otoscope    Dental:g1/4 dental dx    Skin/Coat: skin appears red but may be due to colour.    Cardiovascular: n    Abdominal:n    Musculoskeletal:n    BCS: 5/9No foreign body seen on otoscopeSwab and cytology of both ears. Both ears have malasseza overgrowthGiven otofulsh and otoderm.Look for improvement for 7 days, can extend if taking longer (2wks) than recommend repeat cytology to confirm clearance. If not improved by 2wk then look for another cause or concurrent disease eg.Immune/allergies.    Vital Signs    Weight: 7.9;       

Appointment Notes: Inappetant, lethargic and has had loose stool and vomit on and off all week. did not eat dinner and not eating breakfast. Rebecca VetCXHistory: Prone to runnier poo Probiotic stopped a month ago All up to date with worming No blood in stoolFormed faeces One small vomit presented for lethargy, inappetence, and not drinking since dental extraction performed on Wednesday.Diet: Not eating much since dental procedure. Owner has tried roast chicken, new food, and hand feeding without success.Drinking/Urination: Not drinking properly. When offered water, puts face in it but doesn't lap or drink. V/D/C/S: No vomiting . No coughing reported.Examine: Mentation: QARWt: 8.3BCS: 5/9T: 39.4°CHR: 108R: n MM: pink Hydration: Euhydrated Eyes: NormalEars: NormalNose: NormalThroat: NormalOral: n Cardiovascular: NormalRespiratory: No wheezing notedAbdominal: NormalLymph Nodes: NormalIntegumentary: NormalNeurologic: n Musculoskeletal: n Urogenital: NormalRectal: NormalAssessment: Post-dental extraction Mild GIT symptoms Laboratory: Mild CREA elevation Mild MCH elevation Normal CPL Suspect mild dietary indiscretion Treatment: Cerenia 1 tablet 24mg SID daily for 4 days 0.8ml maropitant SC 2ml BID prokolin BID Plan: Recheck for abdominal radiographs and faecal sample if no improvment in 24-48 hours    Vital Signs    Weight: 8.3;       

Reason: VaccinesAppointment Notes: Paws App Details:Booking Type: VaccinationBooking Notes: Yearly heart worm and flea vaccines.--- 19/01/2026 4:04:16 PM BVL:Dental Check - Skipped on 5/12/2025Subjective: Eyes-                           Ears-                             Resp-                           Skin-Teeth-Body Condition-                         MM/CRT- CVS-    Plan: Preventatives:- Vaccines- Heartworm- Worming- Fleas-    Vital Signs    Weight: 8.3;