C10019900 / invoice 10000

Reason: Restart Lepto + Anal GlandsAnal glands scootingVerified: NoHistory:Presenting for: Olive presented for vaccination (Lepto booster restart) and anal gland scooting.Historical Conditions: Dental procedure performed last year during July/August dental month specials.Current Meds: Brushes teeth at home with finger brush.Other: Last Lepto vaccine was 4 months ago. Owner forgot to continue vaccination series and needs to restart protocol.Examine:Mentation: BARBehavioural: Cooperative during Examine and proceduresEyes: Natural tear staining noted - normal findingEars: NormalOral: Brown tartar buildup present. Heading towards needing dental procedure within next 6 monthsCardiovascular: Heart and lung sounds normalRectal: Anal glands expressed - both sides had buildup and were successfully emptiedAssessment:Dental disease - moderate tartar buildup, will likely require dental procedure within 6 monthsAnal gland impaction - bilateral glands were full and successfully expressedPlan:Vaccinations:- Lepto vaccination administered today subcutaneous injection. Booster required in 2 weeks to complete restart protocol. Minimal side effects expected given 4-month gap. May be quiet for 24 hours post-vaccinationAdditional Discussion:- Increase dental home care with finger brush several times weekly. Try dental biscuits mixed with regular food or flavour with peanut butter/yogurt/chicken stock to encourage acceptance- PlaqueOff powder recommended as alternative if dental chews continue to be refused- Monitor for dental month specials in July/August for discounted dental procedure (usually $150+ discount)- Nurses offer free dental checks year-round- Anal glands may need expressing every 3 months if scooting continues. Can add Metamucil (1/4 teaspoon), pumpkin or sweet potato to diet for additional fibre to help natural expressionClient Comms:- Text to be sent with PlaqueOff powder product name- Book 2-week booster appointment- Watch for dental month promotional texts for future dental procedure discounts    Vital Signs    Weight: 4.9;       

Reason: V+ D+ Appointment Notes: Overdue remindersSubjective:Dog ingested significant amounts of sand and seawater, leading to gastrointestinal upset starting last night. Exhibited vomiting and loose stools 3x todayStill has good appetite and energy levels.Objective:T 38.2, BW 4.6kg, BCS 4/9HR: 108, MM pink, moist, CRT < 2secEENT - No nasal discharge, no other significant findingsDENT - Some plaque notedH/L - Normal rhythm, no murmurs. Pulses strong & synchronous. Normal RR & effort.ABDO - Soft, non-painful, no palpable masses, gritty feeling possibly due to sand ingestionUG - WNLMSK - NADNEURO - Gait & mentation normalOther issues - NoneAssessment:Gastrointestinal irritation due to ingestion of sand and seawater - sand ingestion, seawater ingestionTreatment:0.5mL maropitant SQPlan:Administer anti-vomiting medication via injection to last 24 hours.Recommend Pro-Kolin to help with loose stools and aid in moving sand through the gastrointestinal tract.Advise owner to monitor the dog and provide a small amount of food after an hour post-injection.Recheck or further consultation if symptoms persist or worsen.--- 18/02/2026 16:43:13 MA:Follow up call-unable to leave message-SMS sent.    Vital Signs    

    Vital Signs