C10007923 / invoice 10000

vacc no concerns

History been well , no further GIT issues since starting on hills prescritpion diet - intestinal 
has been sscratching b& ears is moist last week 
and a single black nail- checked, normal black pigment though all nails overlong & needtrimming 
EDDU (all normal )
Diet ()
V+/D+ no
Worming nexguard spectra monthly & drontyal every 3 mnths  ()
Heartworm ()
Ectoparasites ()

Examine
Temperament  BAR well behaved(
Mucous Mem   pink moist ()
TEETH>      excellent , O brushes EOD  () 
EYES>        NAD
EARS>      left ear inflammed & discharge present  . looks very yeasty
otoscope exam both ears
Rt ear normal & no discharge to TM 
Left ear erythema &  moist brown discharge 
Cytology Left ear heavy yeast infection 

SKIN>        NAD
UROGENITAL>  NAD
LN>          NAD
H MURMUR?  124 no murmurm   ()  
H RHYTHM>    Regular 
CHEST AUSC>  NAD
ABDO PALP>   NAD
ANAL SACS    L () R ()
MUS/SKEL>    NAD- well muscled no issues 

Assessment:  healthy , Left ear otitis externa 
has been > 12 mnths since last indcidence otitis
Laboratory: ()
Treatment: clean otoflush ear cleaner here 
allow to dry 
instil Neptra into Left ear 
vacc Nobivac DHP & BbPi 

Plan: ()

 

vacc no concerns

History  O reports no concerns
EDDU (normal)
Diet (Gastrointestinal)
V+/D+ (no, has been good since starting gastrointestinal diet. Only occasional bile vomit)
Worming (utd, monthly all in one and 3 monthly tapewormer)
Heartworm (monthly tabs)
Ectoparasites (utd)

Examine
Temperament  (BAR, compliant)
Mucous Mem   (pink)
TEETH>       (V mild calculus and plaque to upper and lower molars) 
EYES>        NAD
EARS>     Good at present, hx of ear infections. 
Nares        (nad)
SKIN>        NAD
UROGENITAL>  NAD
LN>          NAD
H MURMUR?    (no)  
H RHYTHM>    Regular 
CHEST AUSC>  NAD
ABDO PALP>   NAD
MUS/SKEL>    NAD

Assessment: (fit to vacc)
Treatment: (Nobivac KC s/c. B.N 2429206, Exp 6/2026)

comms from o:

Hi 

I was asked to send in a video of Poppy in my last visit. 
It was about when she was asleep and the door bell rings she jumps up barks then a couple of minutes later is shaking and can't control her movement. 

The vet asked me to send a video as she had never heard of it. 

Thanks
Marianne