C10009902 / invoice 10000

Appointment Notes: Booked Online: 09/03/2026 16:45:35 PMBooking Type: Health CheckOwner Name: Jemma JacksonOwner Email: jemmajackson2002@gmail.comOwner Mobile Number: 0452542566Pet Name: LunaPet Species: DogWeb BookingClient name: JacksonContact number: 0452542566Email address: jemmajackson2002@gmail.comPatient name: LunaHistory: Eating less Straining to poo O went out for dinner 4d ago, family member left chicken bone around, the other dog definitely did have some, went to ECC, stayed for 1-2d for monitoring + fluids Hasn't been eating 3d ago, eaten a little bit or not going near it around; last night still barely touched it Straining to defecate 2d ago, this morning not straining, initially firm but end of it is soft serve consistency ans some fresh blood Not sure if because missing the other dog Not sure frequency of defecation Picky eater, can be picky after going on the same food for a while V+ 1-2d ago after eating a pigs ea, no other V+ Noticed one off coughing/retching in the past few days Able to drink water, able to keep it down  Not a known scavenger No other concerns Examination:    Vital Signs    

Reason: VaccinationAppointment Notes: Overdue reminders  ------- Sms reply: YHISTORY:  Presented for second Leptospirosis vaccination and health check.Primary Vet diagnostics and treatments: First Lepto vaccination administered 07/10/2025. Current meds: noneVaccination: Due for Lepto booster. Kennel cough due January, brought forward to today.Parasite Prevention: Previously on Simparica TRIO.Pre-existing conditions: noneAccess to toxins eg. Rodenticide:none EXAMINATION:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronous. Heart sounds normal on reassessment when relaxed.Respiratory:thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal discharge.Neurological:neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint pain.Gastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): 1/4- Abdominal: no detectable pain on abdominal palpation- Rectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: NSFLymph Nodes: NSFEyes: NSFDemeanour/Behaviour: Tense during examination. PROBLEM LIST:Annual health check and vaccination. DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Healthy adult dog. DIAGNOSTICS:None ASSESSMENT:  Luna presented for her booster Leptospirosis vaccination and health check. Physical examination was unremarkable. Weight 19.6kg. TREATMENT:  Vaccinated with Leptospirosis booster (subcutaneous injection) and intranasal Kennel Cough vaccine.Vanguard resp 2 vacc intranasal Batch# 795831 Exp: 30/1/27Nobivacc lepto vacc SC Batch# A002A03 Exp: 6/26Switched parasite prevention from Simparica TRIO to NexGard Spectra. PLAN:Annual health check and vaccination due in one year.Home into owner's care. CLIENT COMMUNICATION:Discussed bringing Kennel Cough vaccination forward to align with Lepto booster and future vaccination schedules for both dogs. Discussed changing parasite prevention to NexGard Spectra for convenience. Confirmed no further visits required until annual check-up next year.    Vital Signs    Weight: 19.6;       HeartRate: 120;       DentalGrade: 1/4;       RespirationRate: pant;       CRT: <2;       MMColour: pink;       BodyScore: 5/9;       

Reason: Check UpAppointment Notes: Booked Online: 06/10/2025 15:40:37 PMBooking Type: Health CheckBooking Notes: Check up and there is a new black dot on her legOwner Name: Jemma JacksonOwner Email: jemmajackson2002@gmail.comOwner Mobile Number: 0452542566Pet Name: LunaPet Species: DogWeb BookingClient name: JacksonContact number: 0452542566Email address: jemmajackson2002@gmail.comPatient name: LunaConsent for use of Heidi was obtained.History:Luna presented for routine check-upOwner noticed small black dot on leg, concerned it might be tickDue for lepto vaccinationOtherwise well Examination:Mentation - BAREars, eyes, nose - NADOral - NADLNs - NADSkin, nails and coat - small blood blister on leg which detached during examination, likely from trauma (rose bushes in backyard), otherwise NADAbdo palpation - NADMSK - NADGait - NADChest ausc - NADGenitalia - NADHydration - WNLCRT <2sMMs pink and moistBW - 19.3kgAssessment:Minor trauma to leg with blood blister formation, resolvedTreatment:Nail trim performedNobivac lepto2 vaccination administered (batch A002A01)Client Communication:Discussed blood blister on leg - likely trauma from rose bushesAdvised sun protection for white areas of coat, especially nose, to prevent sunburn and future skin cancer riskDiscussed vaccination schedule timingPlan:Clean small wound site with Betadine if neededMonitor wound healing over next weekLepto booster vaccination due in one month - appointment booked for 03/11/2025 at 5:20pmKennel cough vaccination due January 2026 but can do it at next consult Parvo vaccination due November 2026Consider timing kennel cough with lepto booster to consolidate visits    Vital Signs    Weight: 19.3 ;       HeartRate: 160;       DentalGrade: 1/4;       RespirationRate: pant;       CRT: <2;       MMColour: p+m;       BodyScore: 3/5;