C10012613 / invoice 10000

WEIGHT: 6.00
HISTORY: 10 Mar 2026 08:06:34 pm SYTT

BIOP since 9 weeks

pale gums
appetite - eating a bit but have to encourage
little bit diarrhea this morning
not been very food orientated since puppy 
bout of vomiting a while ago 
Diet: mince + chicken

HISTORY: 03 Feb 2026 11:05:33 am CD


P:   multiple vomitings.  x 10. biles and food. he has eaten. maybe barks? Last V befroe eating at 6:00 pm. Can be a chewer. no toxic at homes. no bones at home. diet is wet.  Not on any meds.  UTD prevention

Physical Examination
BCS 5/9 & Demeanour BAR
Temp: 38.3
Cardio/Respiratory: HR  120 bpm, RR  24 bpm. MM pink,  CRT <2 seconds
Thoracic auscultation: Clear bronchiovesicular sound, no heart murmur
Eyes: Clear, 3rd eyelid NAD
Ears: NAD, clean
Integument system: soft coat, free of ectoparasite, NAD
Lymph node: submandibular WNL, pre-scapular WNL, popliteal WNL
Dental score: 0/4, no gingivitis
Abdominal palpation: soft, no pain elicits on palpation
Rectal examination: not performed
Musculoskeletal examination: ambulation normal
Neurological examination: full exam not perform, mentation normal, proprioception normal
Urogenital examination: full exam not perform.

assessment:

HISTORY: Presenting:  Last puppy vaccination 

Hx: O reports is doing well at home. No concerns. Lost 100 gr since last seen 
- current med none
- Diet puppy food. O only feeding 1 cup a day 
- EDDU
- c/s/v/d
- Activity Normal 
- Parasite prevention Due
- Vacc Due 

PhyEx
Demeanor: Bright & Responsive 
BCS 4/9
Euhydrated
MM/CRT: pink and moist <2s
Temp: 38.7
Ocular: clear, no discharge
Otic: bilaterally clean, no discharge
Oral:0 /4
Cardiovascular: 140 bpm no murmur
Respiratory: sniffing   lungs clear, normal bronchovesicular sounds
Integumentary: coat clean, free of ectoparasites
Lnn: peripheral Lnn palpably normal
Abdominal palpation: Soft and comfortable, no pain on palpation.
Rectal examination: not performed
Musculoskeletal examination: full exam not performed, ambulation normal
Neurological examination: full exam not perform, mentation normal
Urogenital examination: full exam not perform, NAD

Assessment
fit for vaccination 

Tx
- C4 given SC
- Nexgard spectra given in CR


Plan
Advised O to increase food to 1 and 1/2 cup a day divided in 3 meals.