C10021073 / invoice 10000

Reason: AHC, VaxAppointment Notes: Special payment terms exist, Overdue remindersHistory: due c5 and overdue lepto Generally well at home, no significant CSVDParasite prevention: UTD w nexgard spectra Physical Exam:Multiple regions of partial alopecia on flanks left and right. Incomplete and without distinct borders  - sticky tape prep NADPaws, ears, belly minimal erythema Remainder unremarkableDemeanour: BAREyes, ears, nose: Grossly NADMM pink, moist, CRT 1s, DD 2/4HR WNL  no murmur, no arrhythmia RR WNL  effort and lung sounds bilaterally NADTemp not takenAbdo palp: pliable, NADNeuro: Mentation, gait and pupils grossly NADMSK: Distance exam, posture and gait WNLLnn (submandibular, prescap and popliteal): WNLAssessment:Fit to vaxLikely atopy Treatment: C3 triennial SC btwn shouldersBB & Pi injectableLepto (nobivac) SC btwn shouldersPlan: UTD 12 monthsBoost nobivac lepto in 4 weeksPred to test if biting flanks is "anxiety" or allergic. O to make notes on if working    Vital Signs    Weight: 11.3;       

Reason: CytopointAppointment Notes: Special payment terms exist, Overdue remindersCytopint 20mg given sc by mh in recpetion. Very good w O holding and licky mat. MH    Vital Signs    

Reason: CytopointAppointment Notes: jmJL> given SC in tx room, very good for injection.    Vital Signs