C10019553 / invoice 10000

CON 1 vacc no concerns / lump check

1. When the problem started ()
2. Current diagnosis ()
3. Treatment ()

History (Going well in general - no major concerns. Bit slower on walks but able to get around for usual 5km without issue. Long-term lump (>2yrs) to check - not bothering dog, no change in size.)
EDDU (Y)
Diet (Blackhawk kangaroo grain free - seems to help itchy skin + fresh kangaroo mince. Os aware to keep diet low fat.)
V+/D+ (N)
Worming (Simparica Trio) - suggest addition tapewormer.
Heartworm (As above)
Ectoparasites (As above)
CBR-based so opting not to give Lepto.

Examine
Temperament  ()
Mucous Mem   ()
TEETH>       (Grade 2/4 - good time for dental, hopefully S&P) 
EYES>        NAD
EARS>        NAD
Nares        ()
SKIN>        Pea-sized SQ lump RHS ventral thorax - ; dorsum L of midline towards pelvis 5mm dermal lump - sebaceous cyst ; another similar dermal lump approx. 2mm just R of midline mid thorax - sebaceous cyst. 
UROGENITAL>  NAD
LN>          NAD
H MURMUR?    ()  
H RHYTHM>    Regular 
CHEST AUSC>  NAD
ABDO PALP>   Slightly overweight - discussed.
ANAL SACS    L () R ()
MUS/SKEL>    NAD

Assessment: ()
Laboratory: ()
Treatment: ()

Plan: ()

vacc no concerns

History (Been doing really well. )
EDDU (all normal. 

Diet (Kibble and Blackhawk , vary the flavour and 1/4 raw mince  

V+/D+ (no

Worming (Monthly simparica trio. 
)
Heartworm (as above)
Ectoparasites (as above)

Examine
Temperament  (BAR excited. )
Mucous Mem   (pink)
TEETH>       (Mod calc ) 
EYES>        NAD
EARS>        NAD
Nares        (NAD)
SKIN>        NAD
UROGENITAL>  NAD
LN>          NAD
H MURMUR?    (No)  
H RHYTHM>    Regular 
CHEST AUSC>  NAD
ABDO PALP>   NAD

MUS/SKEL>    NAD

Assessment: (Mod calc developed quite quickly. May well be a candidate for yearly dentals. )
Laboratory: ()
Treatment: (Cav Nobi Bb Pi)

Plan: (see 12 months for  vac. sooner for dental)

 

vacc no concerns
History ()

EDDU (normal)
Diet (Blackhawk wet and dry
V+/D+ (nil)
Worming (simparica trio)
Heartworm ()
Lepto ()

Examine
Temperament  (BAR)
Mucous Mem   () [Moist,Tacky, Dry]
TEETH>       () 
EYES>        NAD
EARS>        NAD
Nares        ()
SKIN>        NAD
UROGENITAL>  NAD
LN>          NAD
H MURMUR?    ()  nil
H RHYTHM>    Regular 
CHEST AUSC>  NAD
ABDO PALP>   NAD
ANAL SACS    L () R ()
MUS/SKEL>    NAD

Assessment: (ok for vaccs)
Laboratory: ()
Treatment: (nobivac intranasal kc)

Plan: (wt loss and dental care)