C10013847 / invoice 10000

Reason: Check on ThroatAppointment Notes: Murphy (Dog) - Samantha Simes - 0418921291 - Consultation Standard (one concern and rechecks) [Clinician : Dr Anthony Spurrett (Preferred Clinician)] - Check on Throat  - Previous ClientWeb BookingClient name: Samantha SimesContact number: 0418921291Email address: cssimes@hotmail.comPatient name: MurphyHistory:Hacking cough at home. A few weeks in totalOn walks and during the night. Worse last night. Stopped him in his tracks. No vomits. Non productive. Otherwise fine, BAR, EDDU normal Still keen to eat. Hacking not associated with eating. Possibly drinking more, eating grass. Diet: chicken necks for years every morning. UTD nexgard spectraMedications: none Physical exam:BAR. Very bright on examMM pink moist, CRt 1-2s LN wnl. No tracheal sensitivity. Oral exam wnl. No fractured teeth Cardio/resp fine. No increase in resp effortPot belly. Looks cushingoid. Temp: 38.6Assessment:No observable abnormalities on exam. Ddx: laryngeal disease (inflammation vs degeneration), dynamic airway disease, bronchtitis, asthma, LaPa, Cushings, other Treatment:Doxy 10mg/kg SID x 7 days Plan:If no improvement then recommend bloods + T4 Then chest rads    Vital Signs    Weight: 16.5;