C10015379 / invoice 10000

Reason: Vaccinations Record Entered by: SK  BIOSECURITY STATUS: Blue  HISTORY:SPECIFIC HISTORY:EDDU well Abscess last year requiring emergency presentation. Skin lumps/lesions noted previously. Seven teeth removed year before last. Dental not performed last year. Previous biopsy confirmed benign mass. Respiratory noise noted, particularly with heat rather than exercise.NON-SPECIFIC HISTORY:LIFESTYLE: Indoor and outdoor BEHAVIOUR ISSUES: Anxious at vets OTHER PETS: No Other pets at home.DIET: Low fat diet (wet and dry). Also receives bananas, carrots, apples.MEDICAL HX:Previous abscess requiring emergency visit, resoled with amoxyclav. Previous dental with seven teeth extracted. Previous benign mass confirmed on biopsy.CURRENT OR RECENT MEDICATIONS:APPETITE,THIRST,COUGHING ETC:VACCINATION: C3, leptospirosis, kennel cough administered today.PARASITE PREVENTION (incl. Compliance): Milbemax monthly, Bravecto every three months.PHYSICAL EXAMINATION:WEIGHT: 11.6 kg (increased by approximately 1 kg since last visit)MENTATION:HR: 120, no arrhythmia or murmurPULSE QUALITY:RR: Panting, stertor sound heardINTEGUMENT: 0.2-0.3 cm wart-like lesions - one on neck, one on dorsal aspectCIRCULATORY: No arrhythmia or murmurRESPIRATORY: Panting, stertor sound heardDIGESTIVE: NADOral Cavity: Tartar, calculus and gingivitis in both canines. Calculus deposit on premolars.MUSCULOSKELETAL: No pain on palpation of long bones or joints. Normal gaitNEURAL: Normal mentation. LYMPH NODES: NADEYES: NADEARS: NADBODY CONDITION SCORE: 6/9IN-HOUSE DIAGNOSTICS:PROCEDURES PERFORMED:Vaccinations administered: C3, leptospirosis, kennel cough.ASSESSMENT:Problem list:- Dental disease - tartar, calculus, gingivitis- Weight gain - increased by approximately 1 kg- Respiratory noise - stertor, likely anatomical (soft palate elongation or laryngeal)- Skin masses - wart-like lesions and suspected lipomaInclude your clinical impression of the animal:Dental disease requiring  Comprehensive Oral Health Assessment and Treatment assessment and likely intervention. Weight gain requiring dietary adjustment. Respiratory noise likely related to brachycephalic anatomy - soft palate elongation or laryngeal involvement possible. Skin masses appear benign - wart-like lesions and suspected lipoma.PLAN (incl. alternative options):Dental procedure recommended - estimate provided Continue low fat diet. Feed based on ideal body weight (10 kg) rather than actual body weight. Reduce kibble if giving banana/carrot/apple snacks to maintain total calorie intake. Monitor skin masses - measure and record for monitoring. No surgical removal recommended for benign masses as recurrence likely.Vaccination details: Type of vaccination given: Nobivac Flex DHP (3yr)Brand of vaccination: NobivacBatch number: 2519605Expiry date of vaccine: 07-2027Vaccination injection site: Right flank SCVaccination injection site: Right flank SC Type of vaccination given: Nobivac Lepto 2 Brand of vaccination: MSD Batch number: A003A02 Expiry date of vaccine: 10-26Vaccination injection site: IntranasalType of vaccination given: Bronchi shield IIIBrand of vaccination: Boehringer-Ingelheim Batch number: 5267016BExpiry date of vaccine:23/04/2027    Vital Signs    Weight: 11.6;