C10011278 / invoice 10000

Appointment Notes: checkup-wants heart murmur checked again, check teeth & anal glands.-KCNurse Pre Questions:Flea Tick and worming and Date last given:   NGS UTDIndoor outdoor Pet:   mainly indoor Food currently feeding:  BARF, kangaroo/vegiesFish oils and current medications: probiotic - from petbarn & 2000mg fish oil Single pet household or other pets: singleVaccinations : utd History:Check anal glands-licking a lot even in the middle of the night down there. Been going on for 3-4 weeks. nails plsWhen went to furkids they suspected heart murmur & recommended a routine check every couple months. Makes a weird breathing sound in the middle of the night, O doesn't think its snoring (new problem O noticed recently). Pants a lot when runs too much. dental check- just as a health check no current issues O is aware of. Ear check-little bit itchy at home; seems to be scratching a normal amount but O wants checked anyways. Examination:well behaved but definitely growled after prolonged restraint for nailsCV: 130 sinus arrythmiaRR: pant clear lung fields, tracheal pinch negativeMM/CRT: pink 1Temp: 38.1Ears: clean, no discharge, cytology clearEye: wnlNose and Throat: wnlTeeth Dental grade: 0Abdomen: wnlLymph nodes: wnlMSK/Limbs ROM: wnlUrogenital: wnlSkin: wnlAssessment:   PLAN:anal glands and nails done. quite wriggly for nails. discussed ear cleaningEstimate given / dicussed prices for ongoing visits    Vital Signs    Weight: 9.2;