C10016082 / invoice 10000

Reason: Has Had Hook Worm , Still Mucous And Cries DuringHistory: see hx, hookworm in house at AES. Had fenbendazole 3d, repeated here too. Drontal as a puppy. Currently on NG spec. Fed lyca and big dog raw. No vomiting but intermittent loose stools, some with mucous. Some tenesmus reported.Examination: BAR, mm pink, crt1 sec, chest nad, abdo nad, temp 38.2. BCS 5/9Plan:Discuss hookworm resistance can occur, but may also be red herring and GI sensitivity etc insteadOption of idexx faecal PCR (gave estimate)Discuss trialling alternative wormer (moxidectin in simparica if wanting to switch from NG spec), or use drontal q 2 weeks alongside current NG specDiscuss probiotic, start EACDiscuss diet trial, elect gastro for few weeks as almost 6moINI drop in faecal for PCR test rather than in-house float    Vital Signs    Weight: 6.7;       

Reason: Collect Pro-Kolin    Vital Signs    

Reason: Health Check / VaccinationAppointment Notes: Paws App Details:Booking Type: VaccinationBooking Vet: - Any -Booking Notes: Health check and 3rd vaccinationHistory: Prev hookworm possitive, poo sample from few days ago is all negative. O reprots her stools are solid but still has slight mucous in it. Otherwise well, no diarrhea, no vomits, eating well and energetic On lykaParasite Prevention : UTD Examination: BAR Oral decidious normal occlusion CRT <2 pm Eyes ears skin nad PLNS wnl Chest no murmur HR 160 nromal bv sounds and effort RR 24Abdo soft non painful No hernias Temp 38.5 Assessment: Fit for vac  Treatment: C4 5257038B exp 27.1.27BB oral 5245060A exp 14.4.27Prokolin 2ml BID until finished Plan:Discussed desexing age minimum is 6-9months, can wait until first heat for skeletal maturity    Vital Signs    Weight: 4.3;