C10017658 / invoice 10000

Reason: Fell Out Of Moving Car WindowDiagnosis: Subjective: Owner reports:- Benji fell out of the car window while driving at 40-50km/h- Was still on lead, possibly dragged slightly on the road- No blood seen Appetite:Diet:Drinking:Urination:Defecation:Desexed:Worming:HWP:Flea prevention:Other medications:Objective: Mentation: BAREyes: Clear corneaEars: Clear, clean earsOral Cavity: Clean teethThoracic Exam: Heart and lungs sound normalLymph nodes: Small, normal, symmetrical Abdomen: Soft and comfortableReproductive: NILSkin / Coat: Healthy clear skin, no ulcerations, no open woundsFlea Comb test: NILPerineal / Ag's : NILRectal Exam ( > 7yo) : NILGait / Extremities: Ambulating well in consultAssessment: Clinically normal Cannot rule out any traumatic haemorrhage, broken ribs or contused lungs without further imagingObjective: 3 views chest rads performed: - No evidence of pulmonary contusions- No evidence of pulmonary or pleural effusion - No evidence Plan: FUC arranged for +   daysTreatment: Sedation  : GA : ========================================Radiographic report: View :  ( Factor          /             ) :View :  ( Factor          /             ) : View :  ( Factor         /              ) : Assessment: Conversations: Owner called by:     At time:   Discharge booked?:Plan:    Vital Signs    Weight: 7.3;       Temperature: 38.8;       HeartRate: 120;       RespirationRate: 24;       

Reason: 9m AHCAppointment Notes: Overdue remindersDiagnosis:9m Adolescent Health check Subjective:Diet: Homecooked meal, kibble (scoop daily) and mydog wet. Homecooked: cooked meat (lamb, mince,chicken), eggAmount: as aboveHeartworm Prevention : Simparico trioWorming : Simparico trioFlea Control : Simparico trioObjective: Behaviour : Very active, loves chewing. Likes to bite new people, will growl and lunge. Will only do this in the home, not to everybody. O's will do slow intro and let him sniff, he usually is ok with people after this. Toilet training? : has started marking around the house. Was toilet trained before this. Onset of 1 month. Walking Behaviour? Doesn't enjoy walks with other dogs, will jump at owners, bark and growl at unknown things. Is better on his own, will relax more and is more keen to walk. Destructive Behaviour? Will chew at items if bored, owners usually distract with chew which worksSeparation from Owner?: Yes, will jump and nip at fingers when owners come home. Can only be left alone with other dogs or person. Body Score : 4-5Dental Check : G0-1, some areas with plaque likely where chews dont reachAssessment: Healthy dog, fear aggressive and would benefit from training supportBarking at consult doors if he heard noisePlan: Discussed stress signs I noted in consult - fight/flight, clings to female o, hyperaroused and 'checked in' with other dog and owners throughout consult. Gave training info - strongly recommended due to biting behaviour and is under 1yrRecommended making his crate at all strictly his, ensure he has his own spaceOther dog is food aggressive at home, feed seperately Briefly discussed pvps, long term antianxieties if owners feel behaviour is not managable or worsens, at vet discretionHealthy otherwise. Monitor homecooked diet in conjunction with weight as will not be nutiritonally balanced. Dental check 6 monthly    Vital Signs    Weight: 7.3;       

Reason: Communication call ( as indicated above ) Time: Conversation: TTCO hearworm overdue, couldn't leave message, sent email    Vital Signs