C10005554 / invoice 10000

Reason: Dental And Skin Tag Removal Appointment Notes: ------- Sms reply: YESHistory: Presents for dental + removal skin tagFasted this morning.No other health concerns currently.  Examine:  Dental disease:   unable to examine in wake animal due to aggressive natureActive and alertEyes and ears cleanBCS:5/6crt<2, pulse normal, mm pink and moistHeart and resp sound normalAbd palp: soft and painlessLnn feel normalSkin 3x1cm elongated skin tag on right inner upper leg, narrow based, Fit for AnesthesiaTreatment:  Premed: Methadone 0.4.___mg/kg, medeto 0.015 ___mg/kg SC IVC placedInduction: Propofol __5_mg/kg slow IV Intubated and maintained on iso/O2.Hartmanns _5__mls/kg IV during GA No anesthetic complications occurred.Meds given:  _metacam 0.1mg/kg___Dental disease: 2/6Tampon placed in pharynx.    Dental scale and polish of all teeth conducted.  Extractions required: ____0Lump right inner upper hind leg (skin tag, narrow base) subcutis and skin sutured with intradermal sutures 2-0 monosynKC nasal and lepto vaccinations given Plan: Discussed Hills T/D and/or dental chews for future prophylaxis. To continue metacam 0.1mg/kg sid 4dE collar providedO to monitor incision for swelling, redness, if concerns revisit immediatelyVaccination due in 12 months    Vital Signs    

Reason: Lepto Booster (4 Week)- Waiting OutsideAppointment Notes: ------- Sms reply: YesHistory:Presents for lepto vaccination boosterEDUF fine, no concerns since last visitExamine:BAR hard to examine . NMo cocnerns from the O Plan:Vaccination due 12 monthsTreatment:C3 duramune, KC nasal and lepto vaccinations given Gave the otehrs early so that it is one and done Plan:Vaccination due 12 months    Vital Signs    

Reason: Lepto (DM)Appointment Notes: Overdue reminders  ------- Sms reply: YesHistory:Presents for lepto vaccination EDUF fine, no concerns since last visitNot seen here since 2022 - O lives between here/sunshine coast/wagga wagga - so has been to other vets for vaccines, last vaccines given Sep 2024 Had sedation + full examination in Sept 2024 with other vaccines - UTD C3 + KC Liver treats give GI upset Prefers female vet Security dog - o works in security Parasite prevention: UTD nexgard spectra Examine:BAR, nervous - only limited examination possible BCS 7/9Panting Treatment:Lepto vaccination 1ml given SC Plan:Lepto booster due in 4-6 weeks from today.C3 + KC due Sept 2025Continue parasite prevention    Vital Signs    Weight: 49;