C10001250 / invoice 10000

17/02/2026 History:
Bev reported Evie has been scooting, as often does, daily, licking at vulva sometimes but otherwise no licking/chewing or scratching. Appetite/toileting Ok but does often have diarrhoea, more particularly after eats chicken/vege meal fed at most nights. Also gets chicken necks, no commercial food. Bright and energetic otherwise and demeanor good.

Examination:
BAR, very sweet. Vitals unremarkable, Tb not done. Body score 7/9, muscling good. Left anal sac moderate fully expressed easily, right small. Perineal skin unremarkable, hair around vulva a little browned, rest skin/coat unremarkable. Rest exam fine.

Assessment:
Overall well dog, but borderline chronic diarrhoea, which sounds food responsive. Consider food allergy, vs other cause infiltrative/inflammatory disease, or other problem.

Plan:
Discussed changing the diet to trial both different proteins, and better balanced diets and keep us updated. Prefers natural less processed foods, but I advised Hills Biome and other similar premium products.

24/02/2026 Pre-anaesthetic profile (In-house, Catalyst):
PCV 46%, serum 
Biochem/CBC attached - unremarkable.

Anaesthetic:
Px - BAR, sweet. HR=PR=120, RR 24/RE normal, MMs pink, CRT 1s, Tb 38.5
Premed - methadone 1.8mg/medetomidine 50ug IM
Induction - Alfaxalone 6.5mg
Intubation - 7.0 cuffed
Maintenance - Iso/o2, circle
Fluids - Hartmanns 45ml/hr
Perioperative meds - None
Comments - Good sedation and smooth induction. Anaesthetic stable with good recovery.

Dental:
Gingiva and sulci in good condition with a mild gingivitis, despite the build up of calculus. All scaled and polished.

Plan:
1. Monitor recovery.
2. Dental hygiene as much as possible
3. Regular dental checks/cleans.

Discharge notes:

We have had Evie in hospital today for her dental clean under general anaesthetic. We also did the pre-anaesthetic blood profile which was essentially normal, and we’ll keep these in her records.

Despite the calculus Evie's teeth and gums were for the most part in good condition with little sign of advancing dental disease around the sockets and roots. All have been thoroughly cleaned.

Medications:
None

Treatment Plan:
Monitor Evie for the next 24-48 hours while she recovers from the anaesthetic. You can feed her normally, but watch in case she feels nauseous after the anaesthetic. Please let me know if you have any concerns at all.

It would be prudent to continue checking her teeth regularly and she will require further dental cleans, perhaps annually. In the meantime it can be helpful to use dental products such as Plaque Off added to food daily.

Thanks for entrusting Evie into our care today. She was very sweet and a delightful patient.