C10002857 / invoice 10000

Reason: Arthritis / InjectionAppointment Notes: Booked Online: 07/03/2026 19:08:57 PMBooking Type: VaccinationBooking Notes: Arthritis injectionNail trimCheck lumpsOwner Name: Tim McGurkOwner Email: tim@tcmcs.com.auOwner Mobile Number: 0413227455Pet Name: JaxsPet Species: DogWeb BookingClient name: McGurkContact number: 0413227455Email address: tim@tcmcs.com.auPatient name: JaxsHistory: Beransa helping to some extent but O is unsure if it is doing major changes to his arthritis Nail trim Lump on right side of chest unsure if getting bigger or not, has been checked before Lump on front side of chest needed to be checked out Nose dripping more than usual O has noticed small puddles on beddingsEDUD: all normalDIET: left over veggies, leaps and bound dry and wet food, bone once a weekCSVD: noVX: utdPP: utd simparica trioHPP: yesExamination: BARBCS: 5/9Oral: moderate amount of tartarSkin: no lesions, no scurf or erythema- a 1cm diameter SC mass on the right side of the thorax - previously tested- a 2mm diameter dermal mass cranial to left shoulder Cardioresp: no audible murmur, lungs clear, no crackles or wheezesGI Tract: soft & comfortable, no masses palpableUrinary: bladder comfortable on palpation, external genitalia appear normalMusculoskeletal: weight bearing all 4 limbs, no stiffness or crepitus-normal ROM on both FLs and HLs-no pain elicited on spinal palpation Neuro: normal mentation, full neurological examination not performedLNs: peripheral lymph nodes are normal in size and consistency, symmetricalEars: no visible discharge or inflammation, no smellEyes: pupils same size & reactiveLaboratory:Bloods collected from right jugular vein Assessment: 1. Periodontal disease2. Ongoing OA/spinal compression managementTreatment: Beransa 20mg - 798115 - 05/2026 - s/c between shoulder bladesNails trimmedConsent has been given by the client to proceed with this treatment  -  Yes/No Plan:Call O with TAHP resultBeransa injection can be repeated in 1 month.    Vital Signs    Weight: 34.5;