C10003159 / invoice 10000

Reason: Groomer Said Gait Was Unusual?Appointment Notes: Went for a walk this morning. Otherwise seems normal. Groomer suggested O makes a vet appt. Abdomen uncomfortable? sort of sounded like O was describing play bow position/stretch. O had found a couple of vomits but unsure if they are his or their other dogs RJ  ------- Sms reply: YHistory: Due for    vaccination.History ofHeartworm: SR12	Worming: 	Flea Prev: Bravecto	Current Diet: Dry kibble + turkey 	Microchip:	Current Meds:	noneVery fussy eater and does get running, mucous faecesGets in prayer position often. Always done thisNot wanting to jump last few weeksO had metacam chews at home. Much better afterSore after groomer last weekExamination: BAR, GPE NADOral: DG2 over canines. 208 tartar and poss tip fracture?Skin: NADCardioresp:NADGI Tract:NADUrinary: NADMusculoskeletal: - tender lumbar region- very tense both HL- ok ROMNeuro: NADLNs: NADEyes/Ears: NADLaboratory: TAHP + CRP to idexxAssessment: Back painDental diseaseTreatment:     Metacam 10ml oral: give 9kg dose sid x 5 daysConsent has been given by the client to proceed with this treatment  -  Yes Plan: Xrays and dental booked for FridayINSURED    Vital Signs    Weight: 9.1;       

Reason: Follow up callCalled and left a message on Ruth's mobile, asked to give us a call if she has any concerns.    Vital Signs    

Appointment Notes: Overdue remindersPresented for booster vaccinationBARBCS 4.7/9HR 140 regular / no murmurT 38.7cAscultation / respiration - NADMm pink CRT 1 secLNN - normalAbdominal palplation - nadSkin / ears / eyes / locomotion - NADFit for vacination Gave C4 c968732A / oral KC c966137AWe do not have a record of heart woth injection at around 8 months old - Adv heart worm test in 5 monthsUp to date with fleas / ticks / intestinal wormingUnderweight - discussed with Wayne - Adv to try and feed him more if he is finishing his daily allowance - if not - discussed blood test.    Vital Signs    Weight: 7.1;