C10006282 / invoice 10000

Reason: Vaccination.On Simparica Trio monthly and is UTD. Monitor weight!!! May be related to use of Preds? Not currently on these. O is aware dog has put on 3kg in past 12 months.HR 140bpm. Grade 1 dental tartar on upper canines and carnassials only. Rest of teeth clean.OMMC pink, RT 1 sec. Temp 38.7BCS 6/9B/L lens nuclear sclerosis.Ears and skin have been fine on new treatment regime. Otoflush, then HCA spray ONCE a week. Feet have been good so far. O have not taken dog to groomers, coat a little longer than it has been in the past but skin appears normal. Still active at home.Rec dieting down back to 11kg if possible over next 12 months. Canigen C5 SC between shoulder blades.Due again in 12 months' time.Trimmed front dew claws only.Expressed anal glands as per O requested. Both extremely full. RIGHT one difficult to express and was very full but content normal.O already giving carrots in diet. Rec trying mashed cooked pumpkin and sweet potatoes.Formed faeces today in rectum.    Vital Signs    Weight: 14.2;       MMColour: pink;       Temperature: 38.7;       HeartRate: 140;       BodyScore: 6;       DentalGrade: 1;       RespirationRate: 30;       CRT: 1 sec;