C10006242 / invoice 10000

Reason: Rash, Check SkinAppointment Notes: owner away, pet sitter bringing in details of pet sitter on file (Annabelle)  ------- Sms reply: Y  ------- Sms reply: YHistory:10.10.2024: Dilute urine; potential PUPDMerlin is about 6.5kg Sauron is 5.3kg (since last visit, need to weight again today)11.8kg - 590mL/50mL/kg/day Diet - Wet food - fish basedOccasional cat mince - raw mince from the pet sectionBiscuits access constantly - trilogy dry foodEDUD - normalDrinks a lot - has always don't thisIndoor fullyHas metal bowls an washes fountain moreHas cat acneParasite prevention: nexgard spectraExamination:  1. Demeanour: BAR  2. Heart: no heart murmur  3. Lungs: NAD  4. Eyes: NAD  5. Ears: NAD  6. Nose: NAD  7. Oral Cavity: teeth clean  8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen:6.8.25: soft abdomen, could not feel bladder  12. Rectal: good anal tone  13. Genital: NAD  14. Skin and Coat: Mild scabbing along the base of the tail, chest, front right paw, bumps between the ears and eyes, and along the bump on the bridge of his nose6.8.25: very mild chin acne near bottom lip  15. Musculoskeletal/Gait: NAD  16. Nervous System: NAD  17. Behaviour: goodNAD = no abnormalities detectedAssessment:11.4.25 - F5 vaccination7.5.25: F5 booster6.8.25: inappropriate urination - metacam9.3.26: Surface pyoderma; apply neocort cream to affected areasPlan: 1. Yearly F5 vaccination due on 11.4.26.For outdoor cats, consider FIV vaccinations, initially 3 doses 2 weeks apart, then yearly FIV vaccination.2. Monthly Nexgard Spectra Spot on - controls heartworm, fleas, ticks, roundworm, hookworm, lungworm, tapeworm, demodectic mange and ear mites.Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.3. Do not use dog products on cats (e.g. shampoos, flea treatments, tick treatments, wormers, medications), as they are toxic to cats.4. Microchip:- Microchip registration - Register online before 12 weeks of age at www.petregistry.nsw.gov.au.- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.5. Consider Pet Insurance for your pet.6. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.7. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.8. Urinary tract disease:- Recommend urinalysis ($193).- Recheck urinalysis every 3 months for life.- Monitor the urination habits - the frequency, the colour, any straining to urinate.  Recheck if not improved or the signs recur.- If your pet is straining and not passing any urine, this may indicate a blocked urethra, causing serious illness. The bladder may rupture and toxins will be resorbed resulting in death if untreated. Recheck immediately.- For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.- Consider further testing to investigate the cause of the urination problems. Advise to perform full blood testing ($669), urinalysis $123, a urine culture via cystocentesis ($484 plus $35), specialist abdominal ultrasound to assess for stones or tumours, or further trials of antibiotics. A specialist performs our ultrasounds here on Thursdays $790. Consider prostate flush and culture $570.- Provide multiple fresh water sources throughout the house to increase the daily water intake to help flush the kidneys and bladder. This may consist of different water bowl shapes, sizes, and materials. Consider a water fountain or dripping tap to encourage drinking.- Provide multiple litter trays around the house to encourage urination. Ensure these are in quiet areas, consider different litter types, have at least 1 litter tray per cat plus an extra litter tray.- Trial Feliway diffuser and/or spray to help reduce anxiety and stress. Plug into a room where your cat spends the most time or spray onto multiple surfaces around the home. The diffuser will last about 1 month if left on continuously. Refills can be purchased for $50.- Trial Zylkene – A natural supplement formulated with alpha-casozepine, a peptide from skimmed milk, which is lactose free with no side effects. Alpha-casozepine acts as an agonist on the alpha-2 and alpha -3 subunits of GABA-A receptors, reducing anxiety without memory loss. - 20.00 x Gabapentin 100mg CapsulesAnti-anxietyGive 1/4 capsule every 12 hours. Do not stop the drug suddenly, reduce the dose to wean off over 1 week- Ensure daily social interactions that your cat enjoys (play, cuddles), provide scratching posts, and choice of beds.- Refer to www.icatcare.Org and www.Indoorpet.Osu.Edu for further information regarding cat behaviour, stress / anxiety and environmental enrichment.9. Acne/Chin Furunculosis:- Bathe the chin with salty water as required, mix 1/4 teaspoon of salt in 1 glass of warm water. - Avoid expressing the comedones/follicles which could trigger more inflammation.- Change the stainless steel and plastic bowls to ceramic food bowls.- Consider underlying signs of atopy or food allergy and treat accordingly.the actual result and the range.    Vital Signs    Weight: 5.5;       MMColour: Pink;       HeartRate: 180;       RespirationRate: 24;       Temperature: 38.4;       BodyScore: 5;       DentalGrade: 0;       CRT: < 2 sec;       

Client Communication: Cassidy called wanting to speak with MAJ about gabapentin for future due to going away. Noted left for MAJ tomorrow--- 19/02/2026 16:05:45 MAJ:Going overseas for a month; require more gabapentin. Doesn't seem like urinating issue is resolving, stress may complicate the issue.Recommended to bring him in for further diagnostics (potential ultrasound) after holidaysReason: Medications Ensure the patient has had a veterinary consult in the previous 6 months. Initial: MAJIf not seen for more than 6 months, a veterinary consult is required before dispensing any further medication according to the AVA Regulations. Initial: n/aMedications:Give HALF capsule every 12 hoursMedication billed by - Initial: MAJMedication made up by - Initial: AZMedication checked by second person - Initial: JTMedication dispensed/sold by - Initial:    Vital Signs    

Reason: recheck Drinking More Wanting To Do Blood TestsAppointment Notes: Client Communication: --- 01/02/2026 11:44:59 RMC:24hrs 500ml between two cats Sauron drank more  ------- Sms reply: YHistory:Over the 24 hours:Put a litre in a bowl - Measured it the next day the same time and it was 500mL- Goes to the water bowl a lot more frequently but also longer - will stay at the water bowl for 10 seconds- Does go to the litter box more often than Merlin - multiple times a dayIn the past few days has only had one incident of urinating in the pee pad and outside the litter box (Friday)Merlin is about 6.5kg Sauron is 5.3kg (since last visit, need to weight again today)11.8kg - 590mL/50mL/kg/day 10.10.2024: Dilute urine; potential PUPDDiet - Wet food - fish basedOccasional cat mince - raw mince from the pet sectionBiscuits access constantly - trilogy dry foodEDUD - normalDrinks a lot - has always don't thisIndoor fullyHas metal bowls an washes fountain moreHas cat acneParasite prevention: nexgard spectraExamination:  1. Demeanour: BAR  2. Heart: no heart murmur  3. Lungs: NAD  4. Eyes: NAD  5. Ears: NAD  6. Nose: NAD  7. Oral Cavity: teeth clean  8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen:6.8.25: soft abdomen, could not feel bladder  12. Rectal: good anal tone  13. Genital: NAD  14. Skin and Coat: 6.8.25: very mild chin acne near bottom lip  15. Musculoskeletal/Gait: NAD  16. Nervous System: NAD  17. Behaviour: goodNAD = no abnormalities detectedAssessment:11.4.25 - F5 vaccination7.5.25: F5 booster6.8.25: inappropriate urination - metacamLaboratory:   Type: Biochemistry - Chem 17   Test: Idexx in house - Catalyst One  Results: Colour of serum - clear, haemolysed or lipaemic: Clear  Results: High Amyl (1581 (500-1500)Assessment: High Amyl.Laboratory:   Type: Biochemistry - individual biochemistry: SDMA  Test: Idexx in house - Catalyst One  Results: Colour of serum - clear, haemolysed or lipaemic: Clear  Results: Normal SDMA 10 (0-14)  Assessment: NormalClient Communication: --- 02/02/2026 18:41:03 MAJ:Sauron's doing fine at home; eating his dinner and acting normallyGabapentin has not been startedExplained Amyl increaseOptions, Start gabapentin and determine whether urinary issues goes away; if still present recommend ultrasoundPlan: 1. Yearly F5 vaccination due on 11.4.26.For outdoor cats, consider FIV vaccinations, initially 3 doses 2 weeks apart, then yearly FIV vaccination.2. Monthly Nexgard Spectra Spot on - controls heartworm, fleas, ticks, roundworm, hookworm, lungworm, tapeworm, demodectic mange and ear mites.Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.3. Do not use dog products on cats (e.g. shampoos, flea treatments, tick treatments, wormers, medications), as they are toxic to cats.4. Microchip:- Microchip registration - Register online before 12 weeks of age at www.petregistry.nsw.gov.au.- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.5. Consider Pet Insurance for your pet.6. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.7. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.8. Urinary tract disease:- Recommend urinalysis ($193).- Recheck urinalysis every 3 months for life.- Monitor the urination habits - the frequency, the colour, any straining to urinate.  Recheck if not improved or the signs recur.- If your pet is straining and not passing any urine, this may indicate a blocked urethra, causing serious illness. The bladder may rupture and toxins will be resorbed resulting in death if untreated. Recheck immediately.- For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.- Consider further testing to investigate the cause of the urination problems. Advise to perform full blood testing ($669), urinalysis $123, a urine culture via cystocentesis ($484 plus $35), specialist abdominal ultrasound to assess for stones or tumours, or further trials of antibiotics. A specialist performs our ultrasounds here on Thursdays $790. Consider prostate flush and culture $570.- Provide multiple fresh water sources throughout the house to increase the daily water intake to help flush the kidneys and bladder. This may consist of different water bowl shapes, sizes, and materials. Consider a water fountain or dripping tap to encourage drinking.- Provide multiple litter trays around the house to encourage urination. Ensure these are in quiet areas, consider different litter types, have at least 1 litter tray per cat plus an extra litter tray.- Trial Feliway diffuser and/or spray to help reduce anxiety and stress. Plug into a room where your cat spends the most time or spray onto multiple surfaces around the home. The diffuser will last about 1 month if left on continuously. Refills can be purchased for $50.- Trial Zylkene – A natural supplement formulated with alpha-casozepine, a peptide from skimmed milk, which is lactose free with no side effects. Alpha-casozepine acts as an agonist on the alpha-2 and alpha -3 subunits of GABA-A receptors, reducing anxiety without memory loss. - 20.00 x Gabapentin 100mg CapsulesAnti-anxietyGive 1/4 capsule every 12 hours. Do not stop the drug suddenly, reduce the dose to wean off over 1 week- Ensure daily social interactions that your cat enjoys (play, cuddles), provide scratching posts, and choice of beds.- Refer to www.icatcare.Org and www.Indoorpet.Osu.Edu for further information regarding cat behaviour, stress / anxiety and environmental enrichment.9. Acne/Chin Furunculosis:- Bathe the chin with salty water as required, mix 1/4 teaspoon of salt in 1 glass of warm water. - Avoid expressing the comedones/follicles which could trigger more inflammation.- Change the stainless steel and plastic bowls to ceramic food bowls.- Consider underlying signs of atopy or food allergy and treat accordingly.the actual result and the range.Client Communication: --- 12/02/2026 12:10:49 SH:Cassidy called, Sauron has been on gabapentin for just over a week, still having issues with urinating outside of the litterbox. She wants to discuss next options as not improving, Should she be upping the dose of gabapentin. Note left for MAJ.--- 13/02/2026 18:57:58 MAJ:Up the dose to HALF a capsule TWICE a day and monitor for a week    Vital Signs    Weight: 5.2;       MMColour: Pink;       HeartRate: 180;       RespirationRate: 24;       Temperature: 38.4;       BodyScore: 5;       DentalGrade: 0;       CRT: < 2 sec;