C10005440 / invoice 10000

Reason: r1 Appt: Has KC Again- Will Wait OutsideHistory: Coughing very bad Sunday, feels like it is resolving. Doing otherwise well in herself. Eating well now, no vomiting or diarrhoea. Went to the park before starting to cough. Going into kennels on Saturday in Bunbury. Examination:Demeanor: BAR. Nervous dog, hiding for exam, but taking treats and coming up to say hiTemp: Not taken CVS: No murmurs or arrhythmias auscultated. HR = pulse, synchronousHydration: EuhydratedResp sound: Normal RR and effort. Normal bronchovesicular sounds auscultatedEENO (ear, eyes, nose, mouth): Pupils symmetrical. Pinna clean and clear. No nasal discharge. No oral lesions noted.Integument: Good coat quality. No signs of external parasites or allergic skin disease.Lymph nodes: No swellings or abnormalities foundAbdomen: Soft and comfortable. MSK: No lameness noted. No full MSK exam performed.Neuro: Normal mentation and ambulatory. No full neuro exam performedUrogenital:Rectal: Not performed Assessment: Suspected kennel cough, open to bronchitis vs other if not resolvingTreatment: Codeine 30mg: Give 1 tablet SID-BID, may cause sedation Plan: Revisit if INI or deteriorating.    Vital Signs    Weight: 39;       MMColour: p/m;       HeartRate: 130;       BodyScore: 6;       DentalGrade: 1;       RespirationRate: Panting;       CRT: <2s;