C10007770 / invoice 10000

Reason: D+Appointment Notes: KCHas diarrhoea for 3 days, multiple times oevrnightExplorer Overnbight Not eating -3 days Still drinking  Lethargic  Vaccination status: overdue for KC, due for C3 Flea & Tick prevention: overdue  NGS monthly  Worming:Heartworm:Other medication:Diet: dry minced chicken dry Pertinent medical history: Jan 2024: ruptured sebaceous cyst History of mild hip dysplasia and some possible intervertebral narrowing.  Clinical exam:Been in good health at home.Bright, Alert, Responsive.Heart rate and respiratory rate wnls.Gums pink and well hydrated.Chest auscultation NAD.Abd palpation NAD.Aural exam NADSkin exam NADEyes NADOral exam NADMusculoskeletal system all okay.Neurologically appears sound.Lymph nodes all regular size.No obvious lumps or bumps.Rest of exam all okay    Vital Signs    

Consulting Vet: Dr. Romilly Haslam BVScLump CheckOwner says marley has had a small lump on his caudal R flank for some time. Over the last 24hours it has become much larger and painful. Marley has had a reduced appetite. Swollen mass with cellulitis on the caudal R flank with an open sinus and purulent exudate. Looks typical of abscesswould be consistent with a ruptured sebaceous cyst but cannot exclude FB or puncture wound or other type of mass. Pyrexic. Given noroclav and meloxicamcontinue amoxyclave 175mg bid from tmrw amowner has canine meloxicam at home, advise can have a 9kg dose with food once daily from sunday evening. Rechk in 7d if not resolved. also re-examine the area in March at vaccination and consider excision if there is still a cyst present---Charges---Consult - Standard Qty:1 $89Noroclav Injection Qty:0.5 $21.05Meloxicam (5mg/Ml) Injection Qty:0.4 $20.8Amoxyclav 250mg Tablet Qty:11 $31.2Label: Give three quarters of a tablet twice daily. Begin Sunday morning, Complete the course    Vital Signs    Weight: 9.3;       Temperature: 39.5;       

Consulting Vet: Dr. Romilly Haslam BVScgenerally well.last year diagnosed with some mild hip dysplasia and some possible intervertebral narrowing. since then Marley has been ok with no sign of chronic pain although does appear to have some faecal and urinary incontinence according to owner although not concerning them. Will apparently walk along and drop faeces when he needs to go and can do the same with urine - walks along urinatingAdvise would require advanced imaging to further investigate these symptoms. owner not worried about it at the moment.---Charges---Vaccination C5 (Nobivac C3 + K.C. Intranasal) Qty:1 $130Discount - Multiple Animal Vaccination Qty:1 $-10.8    Vital Signs