C10008921 / invoice 10000

Reason: Unwell / Abnormal BehaviorHistory: Early signs prior to IMTP dx was blood in stools Suspected food allergy -> gastritis / collitis Saturday - stool with blood (first time seen this in 2-3 years)Single stool with small amnt blood since then Other stools very mucousy This Am 2 lots of vomit - just white stuff Is eating normal usually, this Am didnt eat breakftas but not totaly abnormal for him Has been more lethargic also last couple of days Had seizure Sunday night - first seizure in 4-5 months Prophy - utd milbemax 2-4 weeks ago, nexgard plain 4 weeks ago  Diet - AM meals4mutts roo dry with prime100 roo slow cooked, PM prime100 roo dog roll + veggiesOnce weekly roo tail to chew Does get scraps from the 2yo child at home Nothing otherwise different Current medications - pexion Is not utd vaccDoesnt usually drink sitting waterAlthough did get some potplant water recently - poss a week or 2 ago Had IMTP 2022Examine: T 37.8Some blood on rectal glove Assessment: Plan:Bloods for TAHP + B12 B12 inj today in caseStart prokolin    Vital Signs    Weight: 29.3;       

Reason: Blood Test For More Meds/scriptHistory: Gets 6 montly CBC for Hx IMTP. Needs script for pexion. Thinks last seizure 3-4 months ago. Generally very well controlled.Subjective: BAR, BCS 6/9Objective: Chest auscultation NSFs, mm pink and moist, crt 1-2s, g0.5/4 dental dz, eyes and ears clear, lymph nodes WNLs, abdo palp NSFs, no petechiae or ecchymoses anywhereAssessment: Doing well - no signs IMTP, seizures well controlledPlan: CBC to vetnosticsScript for pexion for 12 months PrescriptionTHIS PRESCRIPTION IS FOR ANIMAL TREATMENT ONLYThis prescription is not covered by the PBS or MedicareOwner:	Mr L Van Mierlo38 Kitchener Ave  EarlwoodNSW    2206Patient:	ApolloSex:Male Neutered Details:	Chocolate     GroodleSpecies:DogDate of issue:12/01/2026	       Reference    1018036	Prescription Expiry date: 12/01/2027Medication: Pexion (Imepitoin)Form: 400mg tabletsQuantity: 100 tabletsInstructions: 1 tablet twice daily, every 12 hours, ongoingRepeats Authorised: SEVEN (7)Patients must have had a Standard Veterinary consultation within the previous six months for ALL written prescriptions. Some medications will require a more frequent recheck interval.Fee for Lost Prescription is $15.Dr Jenna Lurie V9531  for Balmain Veterinary HospitalSignature    Vital Signs    Weight: 39.8;       

Reason: ionised calcium check History: drinking and urinating normally Eating well - more food driven last 6 months Weight gain - may be eating more due to 2yr old at home Examine: weight stableMm p+m crt<2Eyes and ears okNAD chest auscNAD abdo palp Laboratory: Ionised calcium 1.36 (1.12-1.4) NORMAL Assessment: normal calcium - no need for concernPlan:  owner to monitor for signs of hypoT4 o r other concerns, otherwse back for bloods Q 6 months as normal    Vital Signs    Weight: 30.84;