C10010686 / invoice 10000

Reason: Hesitant To Jump Appointment Notes: Bit of whimpering when trys to put pressure on itStaff Initial: SH1. Confirm name, address, phone and email details are correct. Y2. If this is a new patient, has the health questionaire been completed? If No, complete the questionaire.3. If this patient requires blood or urine tests, collect the sample. N4. Does the pet have pet insurance? If yes, confirm if using GapOnly service today or if history & invoice needs to be emailed. Provider and policy number required for GapOnly. Y5. Will you be using VetPay? Check the file to see if this has been used previously. If yes, obtain the client’s VetPay PIN number and confirm they are the account holder or authorised user, and bill ‘A Vetpay’ questionnaire to be completed at the end of the consultation. NHistory:2 days ago stumbled up the stairs and limped on a back leg for a step or so and then was OKWalking around OK, but unable to jump up onto furniture, hesistates to go up the stairs, not wanting to go out the doggy door, whimpering when doing thingsEating and drinking OKNo vomiting or diarrhea5.2.24 - right eye conjunctivitis. Chlorasone. Comes and goesFed dry food, sachets. Advised to feed more dry foodUsing 3 monthly intestinal wormingGroomed regularly Pet InsuranceExamination:  1. Demeanour: BAR  2. Heart: no heart murmur  3. Lungs: NAD  4. Eyes: NAD  5. Ears: NAD  6. Nose: NAD  7. Oral Cavity: mild tartar on canines, PM and M  8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: NAD  12. Rectal: good anal tone  13. Genital: NAD  14. Skin and Coat: Mild pododermatitis on all 4 feet, worse on left hind paw and mild saliva staining  15. Musculoskeletal/Gait: No lameness in examNormal neck carriageNormal range of motion of all jointsModerate pain on tail flexion and sacral palpationNo lumbar pain  16. Nervous System: NAD  17. Behaviour: goodNAD = no abnormalities detectedAssessment: 17.09.21: Castrate - LMS 20.9.21: Clipper rash from castrate clip- Neocort 15.1.24 - right fore pododermatitis. Neocort5.2.24 - right eye conjunctivitis. Chlorasone. Resolved30.9.24 - sore neck. No pain isolated, no treatment. Resolved15.8.25 - skin allergy. Neocort10.3.26 - pain on tail flexion and sacrum. Metacam POPlan: 1. Yearly C7 vaccination due 15.8.262. Yearly heartworm prevention injection SR12 due 15.8.263. Three monthly intestinal worming for life – Drontal4. Flea and tick control - 3 monthly Bravecto. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.5. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.6. Microchip:- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.7. Consider Pet Insurance for your pet.8. Dental Health:- Plaque on the teeth causes an increase in the number of bacteria in the mouth, which can lead to chronic disease of other organs in the body, as well as causing pain and bad breath. - Feed dental dry food to help maintain dental health e.g. Hills Oral Care or Hills TD. The patented fibre matrix technology in Hills TD holds the kibble together longer to clean each tooth like a toothbrush. - Provide regular dental chews to encourage chewing and saliva production to help clean the teeth, e.g. Greenies, Dentastix, rawhide chews.- We do not advise the feeding of bones. The risks of feeding bones overshadow potential dental benefits.- Consider brushing the teeth using dog tooth paste and a finger brush or soft children's toothbrush. Do not use human tooth paste as this cause stomach irritation when swallowed. Brushing needs to be performed at least 3 times per week to be considered effective.- Aquadent – a dental water additive for dogs and cats which helps maintain healthy teeth and gums by reducing the severity of periodontal disease and plaque.- Professional dental cleaning may still be required.9. Skin irritation on left hind paw:- Neocort cream (antibiotic, anti-inflammatory and local anaesthetic) -  Apply to the inflamed skin twice a day for 7-10 days, then use as required- Recheck if not improved, we may need to clip the hair, or dispense antibiotics or other medications.10. Conjunctivitis:- Bathe the right eye with salty water as required, mix 1/4 teaspoon of salt in 1 glass of warm water.- Chlorasone Eye Cream 4gm (antibiotic, anti-inflammatory and lubricant) – Apply to the right eye TWICE a day for 7-10 days, then use as required.- Recheck if concerned (especially if the eye is cloudy, red, closed, or painful).11. Painful tail and sacrum:- Strict rest until better- Pain relief - Metacam  1.0 mg Chewable Tablets x 4. Give 1/2 tablet ONCE a day with food. Stop using if any vomiting, diarrhoea or inappetance occurs, as gastric ulceration may occur.- Recheck if not improved, more pain relief or radiographs may be required.12. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.13. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.Pet Insurance: GapOnly    Vital Signs    Weight: 6.64;       MMColour: Pink;       RespirationRate: 20;       HeartRate: 120;       Temperature: 38.4;       BodyScore: 5;       CRT: < 1 sec;       

Reason: Medications Ensure the patient has had a veterinary consult in the previous 6 months. Initial: CRBIf not seen for more than 6 months, a veterinary consult is required before dispensing any further medication according to the AVA Regulations. Initial: Medications:Chlorasone Eye Cream 4gm (antibiotic, anti-inflammatory and lubricant) – Apply to the right eye TWICE a day for 7-10 days, then use as required.Medication billed by - Initial:CRB Medication made up by - Initial: CHMedication checked by second person - Initial: RFMedication dispensed/sold by - Initial: RF    Vital Signs    

Reason: Vaccination & Sr12 & Check Paws (Red)History:30.9.24 - sore neck. No pain isolated, no treatment. ResolvedLast month, licking at the left hind paw5.2.24 - right eye conjunctivitis. Chlorasone. ResolvedFed dry food, sachets. Advised to feed more dry foodUsing 3 monthly intestinal wormingGroomed regularly Pet InsuranceExamination:  1. Demeanour: BAR  2. Heart: no heart murmur  3. Lungs: NAD  4. Eyes: NAD  5. Ears: NAD  6. Nose: NAD  7. Oral Cavity: mild tartar on canines, PM and M  8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: NAD  12. Rectal: good anal tone  13. Genital: NAD  14. Skin and Coat: Mild pododermatitis on all 4 feet, worse on left hind paw with mild hairloss on dorsum of paw and mild saliva staining  15. Musculoskeletal/Gait: No lameness in exam  16. Nervous System: NAD  17. Behaviour: goodNAD = no abnormalities detectedAssessment: 17.09.21: Castrate - LMS 20.9.21: Clipper rash from castrate clip- Neocort 15.1.24 - right fore pododermatitis. Neocort5.2.24 - right eye conjunctivitis. Chlorasone. Resolved30.9.24 - sore neck. No pain isolated, no treatment. Resolved15.8.25 - skin allergy. NeocortVaccinations: Protech C3 - Distemper, Hepatitis and ParvovirusVaccinations: Protech C2i - Coronavirus and LeptospirosisVaccinations: Protech Bronchishield III - Kennel Cough - Parainfluenza and BordatellaTreatment:Gave 0.34 ml Proheart SC.Plan: 1. Yearly C7 vaccination due 15.8.262. Yearly heartworm prevention injection SR12 due 15.8.263. Three monthly intestinal worming for life – Drontal4. Flea and tick control - 3 monthly Bravecto. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.5. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.6. Microchip:- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.7. Consider Pet Insurance for your pet.8. Dental Health:- Plaque on the teeth causes an increase in the number of bacteria in the mouth, which can lead to chronic disease of other organs in the body, as well as causing pain and bad breath. - Feed dental dry food to help maintain dental health e.g. Hills Oral Care or Hills TD. The patented fibre matrix technology in Hills TD holds the kibble together longer to clean each tooth like a toothbrush. - Provide regular dental chews to encourage chewing and saliva production to help clean the teeth, e.g. Greenies, Dentastix, rawhide chews.- We do not advise the feeding of bones. The risks of feeding bones overshadow potential dental benefits.- Consider brushing the teeth using dog tooth paste and a finger brush or soft children's toothbrush. Do not use human tooth paste as this cause stomach irritation when swallowed. Brushing needs to be performed at least 3 times per week to be considered effective.- Aquadent – a dental water additive for dogs and cats which helps maintain healthy teeth and gums by reducing the severity of periodontal disease and plaque.- Professional dental cleaning may still be required.9. Skin irritation on left hind paw:- Neocort cream (antibiotic, anti-inflammatory and local anaesthetic) -  Apply to the inflamed skin twice a day for 7-10 days, then use as required- Recheck if not improved, we may need to clip the hair, or dispense antibiotics or other medications.10. Conjunctivitis:- Bathe the right eye with salty water as required, mix 1/4 teaspoon of salt in 1 glass of warm water.- Chlorasone Eye Cream 4gm (antibiotic, anti-inflammatory and lubricant) – Apply to the right eye TWICE a day for 7-10 days, then use as required.- Recheck if concerned (especially if the eye is cloudy, red, closed, or painful).11. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.12. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.Pet Insurance: GapOnly    Vital Signs    Weight: 6.85;       MMColour: Pink;       RespirationRate: 20;       HeartRate: 120;       Temperature: 38.3;       BodyScore: 5;       CRT: < 1 sec;