C10016346 / invoice 10000

GHC and vac HISTORY:Home from Breeder in Oct after having puppiesDoing well - no current concernsOwner reports a that Nala has been bit smelly around her bottom - possibly needs AGs emptiedUTD with T/F/W** Does not want KC vaccine (advised by breeder to avoid this) EXAMINATION:Lovely dog Hydration: EuhydratedCardiovascular: NAD, normal heart sounds with no murmur/arrhythmia detectedRespiratory: NAD, normal bronchovesicular sounds with no crackles/wheezesNeurological: NAD, appropriate mentationMusculoskeletal: NAD Gastrointestinal: NAD Genito /Urinary: NAD Integument: NAD Eyes: RIGHT: NAD LEFT: NADEars: RIGHT: NAD LEFT: NAD Mouth: lower R canine is discoloured. Rest of mouth looks good, only minimal tartar Lymph Nodes: NADPROBLEM LIST:Grade 1 tartar. Uncomplicated crown fx of 404ASSESSMENT:Fit for vac TREATMENT:Duramune C4 Triennial: 5260011 exp 30.10.2026 and Protech Bronchi-shield Oral 5245048A exp 10.02.27AG expression PLAN:Recommend to increase fibre in diet - suggested to give 1tbs psyllium or benefibre with food. Owner planning to have Nala desexed soonAlso needs dental, but advised owner that this should be done seperately as it is a dirty procedure 

Pregnancy Ultrasound HISTORY:In today to confirm pregnancy. Last mating approx 35 days agoPreviously had one litter of 8 pups. If pregnant, will be due to go to breeder in another couple of weeks for whelping (Breeder is in Lismore)No current health concerns, doing well. UTD with px careEXAMINATION:Lovely dog MM: Pink and moistCRT < 2 secondDemeanour: BARHydration: EuhydratedCardiovascular: Dual heart sounds auscultated, no murmur or arrhythmia detected, SSFPRespiratory: Normal bronchovesicular sounds bilaterally, normal effortNeurological: Appropriate & normal mentation, gait and postureMusculoskeletal exam: Good BCS - NAD Gastrointestinal: Comfortable on abdominal palpationGenito /Urinary: Bladder palpates WNLIntegument: Good coat condition, no ectoparasites visualisedEyes: Symmetrical, no ocular discharge or blepharospasmEars: Normal, no auricular discharge bilaterallyMouth: Dental grade 1/4Lymph Nodes: Submandibular, prescapular and popliteal palpate normallyAbdominal ultrasound:Approx 7-8 puppies visualised- very active and heart beats clearly observed. ASSESSMENT:Positive pregnancy ~ 35-40 daysPLAN:Breeder to take care of whelping process with their vet in Lismore

HISTORY:Started sat night. Very watery, with some harder bits, more formed one this morning after a runny one. Gave chicken necks saturday - has these all the time though. DIdn't want to eat this morning, has been getting boiled chicken and rice up until now from saturday. Ate liver treats in consult. Owner notes that she seemed to be on the mend yesterday, was given spectra and then started diarrhoea again afterwards.no vomiting, not an indiscriminate eaterEDDU: inappetant this morningHeart worm prevention: spectra monthly Intestinal worming: spectra monthly Flea control: spectra monthly Tick control: spectra monthlyDiet: usually on Royal Canin, fruit and veg (cucumber and carrot), occasional chicken necks or framesCurrent medications: noneHad pups in July, no heat since then. EXAMINATION:MM: Pink and moist CRT < 2 secondDemeanour: BARHydration: Euhydrated Cardiovascular: Dual heart sounds auscultated, no murmur or arrhythmia detected, SSFPRespiratory: Normal bronchovesicular sounds bilaterally, normal effortNeurological: Appropriate & normal mentation, gait and postureMusculoskeletal exam: normal ambulation, no difficulties rising or sitting/lyingGastrointestinal: Comfortable on abdominal palpation, squishy gut feel and soundsGenito /Urinary: Bladder palpates WNLIntegument: excellent Coat condition, no ectoparasites visualised Eyes: Symmetrical, no ocular discharge or blepharospasmEars: Normal, no auricular discharge bilaterallyMouth: Dental grade 1/4Lymph Nodes: Submandibular, prescapular and popliteal palpate normallyRectal: Normal anal glands, no masses, normal faeces Thyroid: No thyroid slip PROBLEM LIST:Diarrhoea - improvingASSESSMENT:Diarrhoea possibly from chicken necks, possibly also rain water from pudldlePLAN:22mg/kg metronidazole BID for 5 daysRevisit: not needed unless worsening.