C10010964 / invoice 10000

Seen by Dr Emily Fell NSW V11811Consultation with Robyn & JeffHistory:- Doing generally well. Recent ear infection. Ears were very oily, couldn't brush them. - Still rubbing at L ear. - EDDU normal. No vomiting or diarrhoea. No coughing or sneezing. No PU/PD except for on hot days. Mobility normal. Diet: Canine Loyal, Lyka, chicken/turkey Worming: Simparica Trio monthly UTD + intestinal wormer q3 monthsHeartworm: Simparica Trio monthly UTDFlea/tick prevention: Simparica Trio monthly UTDVaccinations: KC, lepto + C3 due Current medications: Probiotic Examination:Temperament: ***Temperature: ***Cardiovascular: HR: ***, no murmurs or arrhythmias, femoral pulses strong & synchronous, oral mucous membranes pink & moist, CRT 1 second.Respiratory: Eupnoeic, no crackles/wheezes on auscultation. Eyes/ears/nose: Oral exam: Dental grade ***Peripheral lymph nodes: Submandibular & popliteal lymph nodes small & soft. Integument: Full coat, normal skin tent. Abdominal palpation: Comfortable & pliable.Gait: Readily ambulatory, no ataxia or lameness.Musculoskeletal: Able to right, rise and ambulate without difficulty. BCS 5/9.Neurological: Mentation & responsiveness appropriate, full exam not done.Rectal exam: Not performed.Urogenital: Clean & dry.Assessment: Fit for vaccinationTreatment:C3: Nobivac DHP SC between shoulder blades. Batch no *** expiry ***Canine cough/KC: Novibac KC intranasal. Batch no *** expiry ***Leptospirosis: Nobivac Lepto 2 SC between shoulder blades. Batch no *** expiry ***Proheart: ***mL SC between shoulder blades. Plan:Worming:Client communication:    Vital Signs    Weight: 7.5;