C10016131 / invoice 10000

Reason: CytopointAppointment Notes: Overdue remindersReason: Client Present:Nurse:Wellness Testing: Urine or Faecal (When done/due?)Vaccination Type:Intestinal worming:Heartworm Prevention:Flea Prevention:Tick control:Microchip:Insurance and Healthy Pets Plus:Behaviour concerns:Current Diet:__________________________________________________________________________History: Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan: Scripts Needed - Yes or NoRevisit needed - Yes or No - ____ Days please    Vital Signs    Weight: 30.5;       

Reason: 3rd Puppy VAcsHistory: Due for vaccination today and preventatives. Examination: D: BARCondition: goodEyes: NAdEars: NADOral: NADLN: small and softCardio: Gr 2 murmur LHS strongest. Hard to hear RHS but also panting at same time. Resp: clear breath soundsGit;s oft onabdominal palpaitionMSK: NADInteg: Hair/coat fine. Botht testes descendedLaboratory: Assessment: Otherwise healthy Murmru. Concerned stil presentTreatment: C4 Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:Recc newcastle veterinary ultrasound to assess murmru advised likely need to go to Wyong for work up Consider neuteringDiscused ongoig preventatives    Vital Signs    Weight: 11.1;       HeartRate: 148;       RespirationRate: 20;       CRT: 1;       MMColour: pink;       Temperature: 38.3;       BodyScore: 4;       

Reason: 2nd Pup VaccAppointment Notes: -KFHistory: Vaccinated at OurVet Canigen DHP 27/5/22. Had two weeks. No issues at home. No parasite control at home. No coughing. No exercise intolerance. Examination: Gr 2/6 left apical systolic heart murmur. Laboratory: Assessment: Treatment: Protech C4 SC batch 5257011A exp 24/08/23Protech BSO PO batch 5245017 exp 13/9/23Nexgard and wormer GIH. Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:Monitor Heart murmur, may resolve over subsequent visits.Back in 4 weeks for C4 final vacc and nexgard spectra.    Vital Signs    Weight: 8.5;       DentalGrade: 0;       CRT: 1s;       MMColour: pink;       BodyScore: 5;