C10023071 / invoice 10000

Appointment Notes: Indie (Dog) - Stacey Lamb - 0410623731 - Consultation [Veterinarian : Dr Annette(No Preference)] - Coughing and sneezing  -Web BookingClient name: Stacey LambContact number: 0410623731Email address: stacey.lamb1984@gmail.comPatient name: Indieover weekend hot bothered then  devloped cough gotten worse today  a bit better. Coughing white frothy sputumsneezing ,nasal discharge clearstill E/D lethargicHistory:Examination:Demeanour/Temperament: BAR quite energetic in consultEyes: NADEars: NADCardiovascular: NAD strong no murmurRespiratory: NAD no crackles no wheezing. trachael pinch negAbdominal: NADRectal: NAD T38.7Integument: NADLymph nodes:  NADMusculoskeletal: NADNeurological: NADUrogenital: NADOral: NADLaboratory:Assessment:nails clipped- she becomes quite stressed with thisDiagnosis:ddx- canine cough- tracheitis vs URTI vs otherTreatment:metacam advised isolate while cough activeini and cough worsening recheck and consider doxycyclinePlan: recheck if no improvement or if there are any further concernsClient Communication:    Vital Signs    Weight: 30.3;       MMColour: Pink;       HeartRate: 120;       Temperature: 38.7;       BodyScore: 5;       CRT: 1-2;