C10016409 / invoice 10000

Reason: Cough1. Pet Primary Diagnosis / Suspected Diagnosis: chronic intermittent cough 2. Suspected Cause: bronchitis vs tracheal collapse vs other airway/pulmonary disease3. Other Conditions Being Treated (if known): none 4. Known health concerns: dental disease 5. Date of first clinical signs (if known): December 2025History:Previous medical conditions - Current meds - lomotil 1 tab BID for past 3 days Diet - Owner concerns - Cough restarted 1 month agoExamination:Temperament/Demeanor: BARChest Auscultation: No murmur/arrhythmias, lung sounds clear. Synchronous femoral pulsesOral:Eyes/ears/nose/throat:Abdo palp: Skin/coat:Gait:MSK:LNs:Neuro: Rectal/urogenital: Assessment:Chronic intermittent cough Client Communication:Discussed differential diagnoses including airway inflammation (degenerative or immune-mediated bronchitis), possible infection, dental disease contributing to bacterial inhalation, and collapsing trachea. Cough pattern more consistent with bronchitis. Collapsing trachea typically causes coughing when excited. Discussed that cough suppressant does not treat underlying disease. Discussed that anti-inflammatory/immunosuppressive treatment could worsen infection if present. Discussed option of thoracic radiographs under sedation or general anaesthesia to confirm diagnosis. Discussed specialist referral option for imaging interpretation. Discussed pre-approval process with Petplan insurance.Plan: Treatment plan given? Y/N Line billed?    Vital Signs    Weight: 8.37;       BodyScore: 7;       

Reason: Cough--- 11/03/2026 15:48:35 LK:SASH Hx emailed by O, attached and placed in path folder.--- 11/03/2026 15:56:44 CC:Presented to SASH on 30/12/25 for coughing NAD on PE, unabl to elicit cough Discussed likelihood of airway collapse, inflammatory airway disease, secondary airway infections, and chronic aspiration events Elected to treat symptomatically with codeine BID to TID Video showed to SASH sugested DAD/collapsing trachea Recommended further workup with thoracic radiographs, laryngeal examination, and bronchoscopy    Vital Signs