C10006952 / invoice 10000

REASON - Concern about eating slugs and Aggressive behaviour JH 10/3

HISTORY:
last few days showing aggressive tendencies
spends lots of time outside: prefers this location
last night diarrhoea 8pm: really bad
Diet was not unusual same day
went to go into mud room: didn't want to go, was acting crazy, was growling, jumping forward and wouldn't sleep
was eventually asleep 9.30pm
was awake again 10.30pm: behaviour v off
had her inside, moved back outside, was more settled

slug in mouth last night
lot of slugs outside, has been rainy
she's definitely had
2am: diarrhoea in mud room again
taken out: didn't want to move/ do anything
not interested in water
kennel put herself in, didn't want to go out
this am: came out of kennel, didn't ask for food (usually v excited and waiting for food)
then back into kennel
hasn't had breakfast
for last 5w

biting has intensified, last 3d

Prophylactics: Simparica and milpro

EXAM:


ASSESSMENT:

TREATMENT: 

PLAN:
GI worm 10/3 then fortnightly for 2tx then back to monthly
simparica q1m
siple food: Hills I/D kibble/ wet food: puppy 

2d normal poo
poo test


HISTORY INCOMPLETE 

REASON -  Puppy vaccination

HISTORY - 
Not yet sleeping through the night
Gets up b/w 3-5am to urinate but then wants to play/whinging a bit 
Goes to bed at 10pm 
Defecates in the corner of the backyard
Really well toilet trained 
Eaten grass 3 times then V+ 
Avid chewer/scavenger 
Starting puppy school tomorrow AM 
Still scratching but bathed her yesterday (Malaseb shampoo) - seems better today though
A bit bitey with Callen, who is now afraid of her biting him
Insurance from 6/2

EDDU -
DIET:  
AM 6-7am - 1 cup R/C puppy dry 
LUNCH 12 noon - 3/4 cup puppy dry 
PM - 1 cup R/C puppy dry 
- treats when toilets in the right spot
- no wet food currently 
PARASITE CONTROL: 
- given Simparica 5-10kg on 7/2 
- wormed 6/2 by breeder 
BEHAVIOURAL ISSUES: 
LEPTOSPIROSIS RISK: 

EXAM - 
Temperament: 
MMs: pink/moist/normal CRT
Heart/lungs 
Abdominal palpation: NAD
BCS  /9
Dentition: normal juvenile dentition
Lymph nodes: NAD
Eyes: NAD
Ears: NAD
Skin: NAD
Musculoskeletal system: NAD
Umbilical hernia present? NO

LAB - 
D/Q tape prep = NEGATIVE for micro-organisms

TREATMENT - 
Vaccinations: **LICKIMAT**
C5 (Nobivac Flex DHP 2534203jun27 + Bb/Pi 2534203jun27) L shoulder s/c
Milpro + Simparica given in consult

PLAN - 
Discussed puppy nutritional requirements - YES
- reduce noon dose to 1/2 cup
Discussed parasite control - YES NO
Discussed faecal parasite screening - YES NO
Discussed pet health insurance - YES NO
Discussed socialisation recommendations - YES NO
Discussed puppy classes and behaviour service at TVH - YES NO
Discussed complimentary 15 min behaviour talk with behaviourist - YES NO
Discussed desexing timing - YES NO
Desexing exemption certificate required/supplied - YES NO
Puppy pack/booklet supplied - YES NO
Puppy passport supplied - YES NO
Pet health report completed - YES NO
Booked in 3rd puppy vaccination - YES NO

HISTORY INCOMPLETE

Sample: Faeces
Sample Labelled and Dated: Y/
If not clear on file as to which test we are running, check estimates or ask vet before charging
Payment (ensure this is charged under VET ASSIGNED NAME): YES 
Add to Surgical & Hospital Worklist (do this as soon as sample arrives with Clinician Name added): YES 
Initials of Vet Nurse informed: MB
Vet assigned: CF

NOTE: CCT need to assign to a vet that is on duty ON DAY SAMPLE ARRIVES
- Leave post-it note for vet to report results when through (vet can reassign to a different vet where appropriate)

NEGATIVE FOR ALL. Results texted to O (CF)