C10016767 / invoice 10000

Reason: Senoir Chck - O Has Worrys About Her Nose?Appointment Notes: sleeping more then usual, and panting more then normal at night. ELEHistory:Clinical signs/progression:Sig hx: Current meds: Appetite & diet: Prev Care UTD/products?: Objective:Vital signs recorded to LEFT columnTemperament: Ophtho: Otic: Oral: Nose: CV, pulses: Resp/Chest:  U/G: Abdo palp: Neuro: Musculoskel: Integ: Hydration: Other findings: Problem list: Assessment: Plan: Treatment: Progress notes: Client Comms: +/- Prognosis, tx declinations+/- record conditions/meds in ALLERGIES tabDelete prompts as necessary--- 11/03/2026 16:21:35 MBB:History:Clinical signs/progression: general seniors check, client aware that Jorji is quite overweight, tends to overlick her paws at times Sig hx: previous dental extractions and issues with pododermatitis Current meds: NIL Appetite & diet: NADPrev Care UTD/products?: Y  Assessment: BAR, very nervous anf wriggly but relatively tolerant EENT NADOral: Mild periodontal dx CV, pulses: Reg reg heart rhythm, clear heart soundsResp/Chest: NAD U/G: NAD Abdo palp: NAD Neuro: Grossly NAD Musculoskel: NAD other than marked fat coverageInteg: NAD Problem list:1. Obesity2. Ongoing dental disease management3. Intermittent allergies  Treatment: Main focuses are on dental hygeine and emphasis on weight loss to protect joints from DJDPlan: Recommend client write a list of what the girls eat in a day, and then commence some weight loss consults with nurses    Vital Signs    Weight: 11;