C10007438 / invoice 10000

History:Fishy smell noted by O.UTD w/ parasite prevention, recent FF -ve.Recent bout of gastroenteritis.No scooting.EDDU normally.No v/d.No other concerns from O.Examination:Demeanour: BARHR: WNLRR: WNLThoracic auscultation: No murmurs or arrhythmias auscultated, normal BVS on all lung fieldsTemperature: 38.6Body Condition Score: 4.5/9MM: Pink/moistCRT: <2 secondsEars: Clean bilaterally, no masses, swelling or evidence of ectoparasite visualised.Eyes: WNLs bilaterally.Nose: NADOral: Grade 0/4, deciduous dentition, no swellings or masses visualised. Integument: Healthy, clean coat, no masses or swellings palpated. Peri-anal and ventral tail base skin WNLs today. 2 superficial laceration - lateral prepuce and ventral abdomen. MSK: No lameness at the walk, full exam not performed.Lymph nodes: Peripheral LNs WNLs.Abdominal palpation: Soft, comfortable, no masses palpated, no pain elicitedUrogenital: Minima amount preputial smegma noted. Both testicles palpated in the scrotum. Neurological: Normal mentation normal gait, no obvious CN deficits, full exam not performedRectal: AGs siginifcantly distended >3-4cm diameter, expressed comfortably, normal secretions. No masses or obstructions palpated. Pain Scale (0-4): 0/4Assessment:Fishy smell + irritated skin around anus? Ventral tail base DDx: distended AGs vs infectious vs dietary intolerance vs otherTreatment:NilConsent has been given by the client to proceed with this treatment - Yes/NoPlan:Revisit if ongoing irritation around anus.Advised can apply Sudocrem to skin around anus BID if needed.Advised O AGs bigger then I would expect in a 18WO dog, suspect recent Hx of gastroenteritis and inconsistent stool contributed to the issue.    Vital Signs    Weight: 14.2;