C10022024 / invoice 10000

Reason: DiarrhoeaAppointment Notes: Booked Online: 12/03/2026 11:52:26 AMBooking Type: UnwellBooking Notes: DiarrhoeaHistory:- Presented for diarrhoea.- History of diarrhoea with haematochezia a few weeks ago, which resolved and then recurred approximately 1.5 weeks ago.- Switched to a diet of boiled rice and chicken, which resolved the haematochezia but diarrhoea persists.- Stool is described as very runny with a clear mucous membrane, sometimes starting formed and then becoming runny.- No change in energy levels or behaviour; described as boisterous and playful.- Appetite is normal.- Parasite control and vaccinations are up to date.- Previous diet was Royal Canin medium kibble mixed with minced beef, chicken, turkey or pork for the last 2-3 years without issue.- Recent dietary change from two meals per day to one meal per day.- No medications or probiotics have been administered for the current signs.- Not known to scavenge or eat non-food items. Described as a fussy eater.Examination:Behaviour: Bright, alert, responsive.BCS: Maintained. Weight has increased by 500g since last visit in February (was 20.7kg, now 21.2kg).Hydration status (%): Clinically hydrated.Cardiovascular: Auscultation normal, no murmurs detected.Respiratory: Auscultation clear, no abnormal lung sounds.Neurological: Normal.Musculoskeletal: Normal.Gastrointestinal:- Oral: normal- Abdominal: Soft, non-painful on palpation.- Rectal/ Anal Glands: Not performed.Genitourinary: Normal.Integument: Normal.Ears: Normal.Eyes: Normal.Lymph Nodes: No peripheral lymphadenopathy.Assessment:- Suspected dietary intolerance or food allergy causing large bowel diarrhoea (colitis), evidenced by mucus and haematochezia.- Infectious or parasitic causes are considered less likely given the clinical presentation and preventative history.- Other differentials include inflammatory bowel disease (IBD) and vitamin B deficiency, though less likely at this stage.Plan:- Start an elimination diet trial with a hydrolysed protein diet (Royal Canin Hypoallergenic) for 6-8 weeks.- Advised to feed only the hypoallergenic diet, with no other food items or treats, to assess for clinical resolution.- Recommended a one-week gradual transition to the new diet to minimise potential gastrointestinal upset. Mix 25%, 50%, 75% of the new food with the current food (boiled chicken and rice) before switching to 100% hypoallergenic diet.- If clinical signs resolve, plan to re-challenge with previous food items (e.g., chicken, beef) to identify the trigger protein.- If no improvement or condition worsens after 4-5 weeks, or if systemic signs like vomiting or lethargy develop, a recheck examination is recommended.- Further diagnostics if required include faecal analysis, blood tests (including vitamin B levels), and an abdominal ultrasound to investigate for IBD or other structural abnormalities.- Discussed that beef and chicken are common allergens in dogs.- Follow-up in 6-8 weeks to assess response to the diet trial.Client communication:- Discussed the nature of a hydrolysed diet and the rationale for an elimination diet trial.- Explained the signs of large bowel diarrhoea (mucus, blood, soft-serve consistency).- Outlined the diagnostic and management plan, including the staged approach starting with dietary modification.- Discussed potential diagnoses including food intolerance, inflammatory bowel disease, and vitamin B deficiency.- Advised client on how to transition the food and the importance of strict dietary adherence during the trial.- Client was informed that if the diet trial is successful, long-term management may involve a novel protein or continued hydrolysed diet.- Client has pet insurance with Medibank and was advised the clinic can submit claims on their behalf.- Client understands the plan and when to seek re-evaluation.    Vital Signs    

Reason: Health CheckAppointment Notes: Booked Online: 23/02/2026 15:20:42 PMBooking Type: Health CheckBooking Notes: Health check dueHistory: EDDU well at home No VDCSPP: UTD - drontal, simparica trioVacc: Due kennel cough vaccine 20/2/26No current medications No other concerns Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:    Vital Signs    Weight: 20.7;       

Reason: Lepto BoosterAppointment Notes: Overdue reminders  ------- Sms reply: YHISTORY:Presented for a leptospirosis vaccine booster.The owner reports normal appetite and water intake. No vomiting, diarrhoea, coughing or sneezing.The owner raised concerns regarding dental health. Reports that Eclipse does not like dental treats or water additives. The owner has attempted toothbrushing at home. No previous professional dental treatments. Eclipse chews on balls frequently.Current medications: noneVaccination: UTD.Parasite Prevention: UTD.Pre-existing conditions: noneAccess to toxins eg. Rodenticide: noneEXAMINATION:Demeanour/Behaviour: Calm and passive, but reactive towards other dogs if they approach. Good with people.Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: Signs of early dental disease with mild to moderate calculus accumulation on the molars and premolars. Mild enamel wear is also noted.- Abdominal: no detectable pain on abdominal palpation- Rectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: NSFLymph Nodes: NSFEyes: NSFASSESSMENT:Fit to vaccinateG1 dental diseaseTREATMENT:Nobivac Lepto 2 Batch A002A02, exp 06-2026 SCPLAN:- Monitor for any post-vaccination reactions over the next 24-48 hours.- Discussed dental home care, recommending daily toothbrushing as the most effective strategy.- Discussed the option of a professional scale and polish under general anaesthesia to remove existing calculus.- Return for annual health check and vaccination in one year.- Home into owner's care.CLIENT COMMUNICATION:Discussed the importance of the booster vaccine and advised that the annual vaccination schedule is now current. Advised to monitor for lethargy, reduced appetite or swelling at the injection site and to contact the clinic if concerned. Discussed dental health, explaining the findings of mild calculus and wear. Recommended daily toothbrushing with a pet-specific toothpaste and a gradual introduction technique. Explained that existing calculus requires a professional clean to remove. The owner was given the vaccine vial sticker to place in the patient's health booklet.    Vital Signs    Weight: 22.5;       DentalGrade: 2;       RespirationRate: sniff;       CRT: <2;       MMColour: pink;       BodyScore: 3.5/5;