C10004557 / invoice 10000

Reason: Sr12, Bravecto Q And MilproAppointment Notes: Booked Online: 08/03/2026 21:22:56 PMhas cancer - GHCBooking Type: UnwellBooking Notes: Needs heartworm Check on his wellness Owner Name: Helen WilkieOwner Email: wilkiehm@gmail.comOwner Mobile Number: 0410495075Pet Name: CharliePet Species: DogWeb BookingClient name: WilkieContact number: 0410495075Email address: wilkiehm@gmail.comPatient name: CharlieHistory:: Charlie is a 14 years 8 months male neutered Shih tzu presenting today for check up on lump. Charlie is EDDU normal. Previous medical history: - left pansystolic grade v/vi murmur- neoplasia: Abd u/s done in nov 25 - bilateral adrenomegaly and liver mass found, cranial cervical 1cmx1cm well demarted firm slippery mass Current medication:- Meloxicam for OADiet: Appetite: Normal Environment: indoor/ outdoorUrination/ defecation: No stranguria, haematuria or pollakiuria. No diarrhoea, defecation is normal.Preventative: bravecto quantum, SR12 Examination:: Demeanour: BAR BCS: 4/9 Temperature: 	      HR: 160 beats per minute 		RR: 30 breath per minuteMM/ CRT: Pink, moist, <2sHydration: euhydrated (Skin tent <1s) Oral cavity: G4. Normal occlusion. Ears: No erythema or pain noted on physical examination. No discharge noted. Eyes: Bright and clear, no discharge or blepharospasm   Respiratory: No nasal discharge, lung auscultation is normal and clearCardiovascular: Normal heart rate, no murmurs and arrhythmia appreciated on auscultation.  Integument: Fur look smooth and clearNeurological: normal mentation, no obvious cranial nerve deficits or ataxiaMusculoskeletal: Able to ambulate well, normal gaitAbdominal palpation: Soft and comfortable. LN: NADRectal: Not performed.  Urogenital: Not performed.  Lab results:  Assessment:  Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/NoPlan:  O to monitor, review if concern. Client communication:    Vital Signs