C10022214 / invoice 10000

12/03/2026 Reason/concerns:  Skin and appetite

History:
Eva came in today
EDUF on and off appetite for a few months, drinking fine and toileting normal
Diet tried beef, chicken, kangaroo. R/C kibbles as well
Few lumps noted on the skin, turned into scabs and left patches on the skin
O reported Chester not interested in food since young as much
O is aware of breed related disease or disease that have higher risk - DCM, GDV etc.
Had 1 ear infection episode before, O reported some degree of itchiness, Pruritic score 4/10

Pre-exisitng Conditions / Medications:
- No pre-exisitng conditions noted at the time of examination
- No medications currently being provided at the time of examination

Preventative Healthcare: Vaccination and parasite (flea, intestinal worms, heartworm). UTD

Examine: 
Mentation: BAR
BCS:  5/9
MM: Pink moist         
CRT: 1-2 seconds
HR: 80 beats/min
RR: 30 breaths/min
Temperature: NE

Ocular: No abnormalities noted on cursory examination of both eyes.
Oral/Dental stage: G0-1/4
Ears: No abnormalities noted on cursory examination of both ears.
Cardiovascular: HR = PR and no evidence of hypoperfusion.
Sinus arrhythmia with suspecting G1/6 murmur (very faint and seems to only show up when the heart contract harder)

Respiratory: Respiratory rate and effort considered normal for the patient. Clear BVS
Gastrointestinal: No pain on abdominal palpation. No masses or abnormalities palpated.
Integumentary: 2-3 scabs healing well on the R lateral gluteal region - 1mm diameter
O noted some lump around the neck but unable to palpate any today. If there is any, suspect along the R medial neck since some scab/debris noted

Musculoskeletal: Normal gait and strength noted. No evidence of lameness.
Urogenital: 2 descended testicles
Neurological: No evidence of neurological impairment or altered mentation. Detailed neurological examination not performed today.
Lymph nodes: Within normal limits for mandibular, prescapular and popliteal examination.

Problem List:
Inconsistent appetite - likely exposure since young and had multiple food resources growing up
Scabs on R gluteal region, pruritis, ear infection history - Suspect CAFR

Patient Assessment: 
very gentle and calm

Diagnostics performed (i.e. bloods, radiographs/ultrasound, ear cytology, urinalysis):
- None performed 

Treatment with medication 
dose rates (if any):
Nil today

Client Communication
& Plan: 
(see attached vetcheck client information sheets if provided)
Advised on appetite - likely due to multiple protein sources offered, but considering the growth since a puppy, Chester likely not a food orientated patient
Considering BCS is ideal and having good amount of exercise, consider food trial with novel protein diet - Prime Roll Kangaroo/Crocodile/Lean Pork. Small frequent meals instead.
Ideal weight range suspect to be 27-30kg
Advised on skin - not concerning since no erythema and no irritation at those spots. Some degree of itchiness and ear infection history brings a higher suspicion of CAFR - hence novel protein diet advised
Brief discussion on desexing and elective procedure (Gastropexy) - O seems to have good basic understanding of all, and seems keen on having pexy done together with castration.
Advised O to consider have a consult later (O noted planning to book in May for desexing) before procedure for more understanding and confirmation on procedures
Advised on monitoring exercise and exercise intensity - if noted collapse, panting at rest, or mm discoloration - present to vet asap.