C10010466 / invoice 10000

Reason: R/v With MWHISTORY:Lexi presented for a recheck and medication refill for lymphoma palliation.The owner reports Lexi is very happy, eating well and is more active. Appetite is reported to be good. The owner noted an episode of scavenging grapes from a shopping bag (didn't eat them). The owner is managing diet with low-fat treats like carrots. There is some mild shaking, which the owner attributes to anxiety. At the last visit, the right submandibular lymph node was enlarged and we increased the prednisolone dosing by 5mg to 1mg in the morning and 0.5mg/kg at nightCurrent meds: Prednisolone 10mg am and 5mg pm, one tablet twice daily.Vaccination: UTDParasite Prevention: N spectraPre-existing conditions: Lymphoma (palliative care) right SM LN enlargedDiet: note mentionedEXAMINATION:Body Condition Score: 6/9Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: full examination not completedMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: dental score (1-4): 1- Abdominal: soft and comfortable- Rectal: not performedUrinary: NSFReproductive: exam not performedIntegument/Skin: NSFLumps: NSFEars: NSFLymph Nodes: RIGHT SM two lobes palpable 2cm and 1.5cm (increased again since last week), rest palpate nromal cannot feel inguinal or prescapularEyes: NSFDemeanour/Behaviour: BAR, happyPain Scale (0-4): 0/4Hydration status (%): hydration clinically adequatePROBLEM LIST and DIFFERENTIAL DIAGNOSIS- Lymphoma (palliative care)- Increased appetite (polyphagia) secondary to corticosteroid administration- Increased thirst (polydipsia) secondary to corticosteroid administration- Mild anxiety/shakingDIAGNOSTICS:NoneASSESSMENT:- Stable on current palliative care protocol for lymphoma.- Side effects of prednisolone (polyphagia, polydipsia) are present but well-managed.TREATMENT:Prescription for Prednisolone dispensed.PLAN:Continue current medication regimen.Re-evaluation as needed. In two week or if patient is unwell - handed cases to Etain while I am awayHome into owner's care.CLIENT COMMUNICATION:Discussed Lexi's positive response to the current palliative treatment.Advised to continue monitoring for quality of life.Reinforced dietary management, avoiding high-fat foods and known toxins (like grapes).A new script for Prednisolone was provided.--- 07/03/2026 09:18:23 AM GNM:Examinations - Resolved -    Vital Signs    Weight: 9.5;       HeartRate: 150;       DentalGrade: 1;       RespirationRate: 0;       Temperature: 38.5;       CRT: <2;       MMColour: pink;       BodyScore: 6;