C10003313 / invoice 10000

Appointment Notes: Booked via Petbarn App: 04/03/2026 10:11:52 AMBooking Type: Health CheckBooking Notes: Health checkHISTORY:Presented for a six-monthly health check-up. The owner reports picky eating behaviour and intermittent diarrhoea over the last few days. The appetite has been inconsistent; for about two days he would not eat, then he ate when hand-fed last night and this morning. There has been some vomiting in the past after being fed tuna mixed with salmon canned food.Current meds: noneProphylaxis: UTD. NexGard SPECTRA monthly.Diet: Diet is varied and includes beef mince with green beans and corn, kibble mixed with wet food, and brands such as Prime100 and Lyka. He tends to stop eating the same food after one or two days.Pre-existing conditions: NoneAccess to toxins eg. Rodenticide: NoneEXAMINATION:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): 2- Abdominal: no detectable pain on abdominal palpation, normal gut sounds- Rectal: Not performedUrinary: NSFReproductive: Intact male, both testicles descended.Integument/Ears: NSFLymph Nodes: NSFEyes: NSFASSESSMENT:1. Intermittent diarrhoea, likely secondary to frequent dietary changes.2. Picky eating behaviour, likely a learned behaviour.LABORATORY:NoneDIAGNOSTIC IMAGING:NoneDIFFERENTIAL DIAGNOSIS:Dietary indiscretion causing gastrointestinal upset.TREATMENT:- No medications administered in consult.PLAN:No procedures or follow-up appointments scheduled. Recommended to return if he becomes flat, if the diarrhoea restarts, or if any vomiting occurs.CLIENT COMMUNICATION:Discussed the likely cause of the intermittent diarrhoea is the frequent changes in diet. Advised the owner to select a stable, formulated diet and be consistent. It was explained that dogs do not require dietary variety and that rapid food changes can cause gastrointestinal upset. Advised that if a diet change is necessary, it should be done slowly over one to two weeks.Guidance was provided on managing the picky eating, which is likely a learned behaviour. Advised a "tough love" approach by offering the chosen food and not providing alternatives if it is refused. It was explained that missing a meal or two will not harm him and that he will eventually eat when hungry. Recommended discontinuing hand-feeding and stopping any dental treats for a few days to reinforce the new feeding routine. The owner was reassured that once he is eating his main meals consistently, treats can be reintroduced as occasional rewards rather than an expectation.Discussed body condition, which is ideal. Reassured the owner that he is not overweight, but that it is easy for this breed to gain weight, which is why a consistent, portion-controlled diet is beneficial. Advised the owner to follow the feeding guides on commercial dog food packaging.Vaccinations are up to date until July 2026.    Vital Signs    

Reason: VaccinationAppointment Notes: Booked Online: 11/07/2025 10:25:50 AMBooking Type: VaccinationBooking Notes: 3rd Vaccination Owner Name: ZHI CHYI TANOwner Email: tigertzc@gmail.comOwner Mobile Number: 0416533144Pet Name: QashiePet Species: DogWeb BookingClient name: TANContact number: 0416533144Email address: tigertzc@gmail.comPatient name: QashieHISTORY:Presented for final C4 vaccination. Owner reports Qashie has put on a lot of weight and has a lot of energy. Experiences excitement-induced urination, particularly upon the owner's return home. No adverse effects noted after the previous vaccination.Current meds: noneProphylaxis: UTD. NexGard Spectra.Diet: Pedigree puppy kibble mixed with tinned food and a little water, twice daily (morning and evening). Also enjoys broccoli, carrots, and occasionally egg yolk. Tummy is reportedly fine on this diet.Pre-existing conditions: NoneAccess to toxins eg. Rodenticide: NoneEXAMINATION:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal puppy dentition- Abdominal: no detectable pain on abdominal palpation, normal gut sounds- Rectal: Not performedUrinary: NSFReproductive: NSFIntegument/Ears: NSFLymph Nodes: NSFEyes: NSFASSESSMENT:1. Healthy puppy check and final vaccination.2. Excitement-induced urination.LABORATORY:NoneDIAGNOSTIC IMAGING:NoneDIFFERENTIAL DIAGNOSIS:Excitement-induced urination.TREATMENT:- C4 vaccination administered subcutaneously.- NexGard Spectra monthly for flea, tick, heartworm and gastrointestinal worm control. Discussed continuing with this.PLAN:Next vaccination due 28/12/2026. Desexing recommended at around 18 months of age. Can start going for walks in 10 days. A six-month health check was offered as an option.CLIENT COMMUNICATION:Discussed the final vaccination and when Qashie can go for walks. Advised that Qashie may be a little quiet post-vaccination and to call if concerned. Discussed management of excitement-induced urination; advised to make homecomings calm and to give attention only once Qashie has settled down. Discussed desexing recommendation.--- 29/07/2025 09:08:50 AM ANS:Vaccinations - Resolved - Follow up sms sent.    Vital Signs    

Appointment Notes: Booked Online: 12/06/2025 19:36:19 PM- NEW CLIENT -Booking Type: VaccinationBooking Notes: 2nd Vaccine Owner Name: ZHI CHYI  TANOwner Email: Tigertzc@gmail.comOwner Mobile Number: 0416533144Pet Name: QashiePet Species: DogWeb BookingClient name: TANContact number: 0416533144Email address: Tigertzc@gmail.comPatient name: QashieHistory: Presenting for 2nd puppy vaccination. Owner has no other concerns. Current medications: none Previous health problems: none Diet: kibble + broccoli + carrot Appetite: normal Urination/defecation: NADVaccination: UTD Preventatives: worming UTD, nothing for flea/ticks Examination: MM: PM          CRT: <2s     BCs: 5/9Demeanor: BAR Body weight: Ears: NADEyes: NADOral exam: C 0/3  G  0/3Thoracic auscultation: Normal heart rate and rhythm, no murmur, normal bronchovesicular sounds with no crackles, wheezes, stertor or stridor. Urogenital: NADAbdominal Palpation: soft and comfortable, no pain elicitedLN: WNLIntegument: clean, healthy coat. MSK: Full ROM and ambulates normally x4Neurological: Full exam not performed, reacts normally to environment and no obvious neurological deficit noted. Assessment:Fit to vaccinateC4 ProtechBronchishield Oral Consent has been given by the client to proceed with this treatment  -  YesPlan:Next vaccination in 4 weeksRecommended starting Nexgaurd spectraReason: Nurse: -vaccination -heartworm -worming -flea/ticks Exam: Lab: Assessment: Treatment: Plan:--- 04/07/2025 10:00:25 AM ANS:Examinations - Resolved - Follow up sms sent, with GX Wishart contacts if client had any concerns.--- 04/07/2025 10:00:32 AM ANS:Vaccinations - Resolved - Follow up sms sent, with GX Wishart contacts if client had any concerns.    Vital Signs