C10006465 / invoice 10000

Reason: Scratching Eye Appointment Notes: Ear ointment got in eye last thursday, vet wasn't worried but still scratching - ghHistory: Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:    Vital Signs    Weight: 1.24;       HeartRate: 124;       DentalGrade: 0;       RespirationRate: 24;       Temperature: 38.3;       CRT: 1-2s;       MMColour: P+M;       BodyScore: 4;       

Reason: Vaccination & Health Check- New Client Code- EtAppointment Notes: Booked Online: 20/02/2026 12:35:41 PM- NEW CLIENT -Booking Type: VaccinationBooking Notes: Puppy vaccine and consult  ------- Sms reply: YHistory: Presents for getting epiotic in eye about 30 minutes ago. O unsure which eyeO immediately rinsed it out with warm water. Was squinting a bit after but now seems fineOtherwise well- seen this am for 2nd puppy vaccExamination: BARFocused examBoth eyes bright clear scleraNo epiphora/blepharospasmAssessment: Epiotic in eye- Appears okPlan:Advised acidic blend can be quite irritant on eye but unlikely to do too much damage, particularly with washing out immediately. As she seems quite comfortable at this point would not expect any progression but do recommend to monitor and if any squinting tomorrow morning bring her back for flurescein test--- 06/03/2026 09:07:21 AM JRR:Examinations - Resolved -    Vital Signs    

Reason: Vaccination & Health Check- New Client Code- EtAppointment Notes: Booked Online: 20/02/2026 12:35:41 PM- NEW CLIENT -Booking Type: VaccinationBooking Notes: Puppy vaccine and consult  ------- Sms reply: YHistory:Presents for1. 2nd vacc2. Mild waxy debris in ears.Parasite prevention: 2 doses of worming givenNOCEnergy and appetite goodNo V+ D+Medications: Nil.Examination:BAR, friendlyBCS=4.5/9HR=144, no murmurRR= 24, normal effort, clear BV soundsMM= pink moist CRT 1sTeeth= temp, normal occlusionEyes= bright clear scleraEars= Mild waxy debris present bilaterally, canals non-inflamed.Abdomen= soft non painful, no herniaGenitals= normal conformationIntegument= no lesionsMSK= Gait normal, no spinal pain on palpation.Assessment:Fit for vaccinationMild ceruminous otitisTreatment:C4 vaccine SCBronchishield III (BB/Pi2) oral vaccineDispensed 1x bottle of ear cleaning solution.Plan:Discussed possible vaccine side-effects including lethargy, gastrointestinal upset and allergic reactionsParasite preventionRecommended starting Simparica monthly for flea, tick and heartworm prevention.Final puppy vaccination (C5 booster) recommended in 4 weeks.Advised on ear cleaning once weekly with dispensed solution to manage wax build-up and prevent secondary infections.--- 06/03/2026 09:07:19 AM JRR:Vaccinations - Resolved - Sms Sent    Vital Signs    Weight: 1.18;