C10003445 / invoice 10000

Reason: RecheckAppointment Notes: Overdue remindersctHx: groomed yesterday and licking a lot, cyst refilledPe:- BAR, MMPM, CRT<2', teeth G2- back of neck high up is SC cyst refilled, non painful- Bright clean eyes/ears/nose- Heart and lungs ok: normal rate and rhythm, no murmur/crackles/wheezes- NAD abdo palp soft and comfy- Light superficialderm likely post grooming on inguinal skinPlan:- Remove cyst and do dental- Bacticorten for rash- Physically well so can do vaxTriennial C3, lepto, KC and SR12 SCNobivac Flex DHP 2528102 06-2027Nobivac Bp/Pi 2528102 06-2027 Nobivac C2i A003a02 10-2026    Vital Signs    

had groom Noted lump on neckHad prevomax inj 1a few weeks ago Very hight up - base of skull 1cm firm massFNA - sanguionous thin fluidCYtology - cocci + degenerate rbs? Injection site reaction (quite high up for typical  sc inj site but o did say jumped!) vs infected cyst/biteTx amoxyclavIni then consider removal    Vital Signs    

Reason: Sore TummyAppointment Notes: Overdue remindersagHistory:Diet:frontier and poached chicken, sometimes lyka FTW:bravecto spot on at home Medications:n/aOther:Had some roast chicken yesterdya-unsure if ksin or not on itToday doesn't want to eat or drinkWalked this morning When O picked him up did big squeal No v+ or d+ Did normla poo this morningRumbly tummy very loudCan't keep stillO aware of heart murmur incidental previously had echo Examine:Friendly, but nervous BARBCS2.5/5Integument - nad MSK-nad-no pain on palpation of entire MSK, good ROM everywhere Eyes-nadEars-nad Oral- G2 needs dental -O aware and planning to book in for April Cardiovascular-nadRespiratory-nadUrogenital-nadAbdomen-mildly tense on abdo palpation, but relaxed after a few palpations, borborygmi present Anal glands-not examinedRectal-blood tinged, no palpable masses, soft stool present Diagnosis:GI-dietary indescretion/IBD/infectiousExtraGI-metabolic/endocrine/inflammatory/infectious/neoplasticTreatment:Bland dietMaropitant 1mg/kg SC Plan:INI recommend full bloods/hospitalisation with IVFT and posisble imaging (offered this today and O elected conservative management first)    Vital Signs    Weight: 5.9;