C10023258 / invoice 10000

DOG vacc no concerns
O called and aware that MK not able to see/or will be a wait. Can GK possible see instead? CS


 

Verified: Yes 

Routine health check and kennel cough vaccination. Eye discharge treatment.


History: Simba has been experiencing eye discharge with mucous for a few weeks. Owner wipes eyes nightly with water which helps temporarily but discharge returns after a few days. Discharge was sticky and worse 3 weeks ago, now improved but still present.
 Eyes are worse in mornings and gunky at night.
 Sometimes rubs at eyes. 
Owner concerned about possible infection. 

EDDU: Eating well: No (fussy with food consistency, prefers homemade food with specific texture - not too soft or hard) 
Diet: Homemade food 

V+/D+: No

Worming: Simparica Trio monthly 

Heartworm: as above 

Ectoparasites: Simparica Trio monthly 

Examination:
Temperament: Anxious in social situations, doesn't like cafes, cries when taken to new places, prefers home environment, friendly with other dogs but prefers to stay home with family 

Mucous Memb: pink
CRT: 1sec 
TEETH: Good 
EYES: Pretty good appearance, mild mucoidy discharge present, not red or inflamed 
EARS: NAD
Nares: NAD
SKIN: NAD
UROGENITAL:NAD 
LN: NAD
HR: 110 bpm; = Pulse rate Yes 
H MURMUR:no  
H RHYTHM: reg
CHEST AUSC: NAD
ABDO PALP: NAD: 
MUS/SKEL: NAD

Assessment: - Mild eye discharge, likely allergic/environmental cause 
DDx: Allergies, hay fever 
Laboratory: 
Treatment: - BBPI (kennel cough) vaccine administered
-Amacin Eye ointment dispensed for morning and night application as needed 

Plan: - Continue wiping away discharge as currently doing
- Apply eye ointment morning and night for 3 days when eyes appear red
- Contact clinic if not improving after 3 days of treatment
- Normal activity can resume today 
Recheck: 12 months for routine health check 

This record created with the assistance of Vetnotes incorporating AI, with the attendee's permission.

Nobivac KC, Intercpetor, Prokolin, Oxyfresh

vacc no concerns


History (been well
capricious appetite - "won;'t eat the same food more than one day in a row" but will eat it some days later
on questioning, alswys happy to eat boiled chicken
 one vomit 3 days ago, liquid diarrhoea last three days -still bright and happy,, but is eating less at the moment.)
)
EDDU ()
Diet (various types of commercial dry and (I tyhnk) we food))
V+/D+ ()
Worming (Simparica)
Heartworm ()
Ectoparasites ()

Examine
Temperament  (friendly)
Mucous Mem   (PM)
TEETH>       (mild tartar, worst LU carnassial) 
EYES>        NAD
EARS>        NAD
Nares        ()
SKIN>        NAD
UROGENITAL>  NAD
LN>          NAD
H MURMUR?    (N)  
H RHYTHM>    Regular 
CHEST AUSC>  NAD
ABDO PALP>   NAD
ANAL SACS    L () R ()
MUS/SKEL>    NAD

Assessment: (BW is excellent - Simba is eating enough
this seesm to be a one of episode of gastroenteritis
Simba is no olonger allowing teeth to be brushed)
Laboratory: ()
Treatment: (
1) checken and rice for a few days
Prpokolin 2 ml BID
3) is OK to have several bags of dg food open and rotate between each one
4_ camnge from Simparica (no whip or tape) t interceptor as routine and use nexgard if goes to the coast (Lepto not discussed today))

Plan: ()

 

vaccs due, not eating well
missed txt sent 6:43pm 
rebooked for 7/3 AGO

History - well overall, is a picky eater
only eats chicken - no dog food, no human leftovers.
EDDU - normal other than very picky
Diet - chicken only
V+/D+  no
Worming - yes, wife does it, unsure what
Heartworm ()

Examine
Temperament  - friendly but hard to examine mouth. from what i can tell, dentition is normal and clean. mm pink and moist
EYES>        NAD
EARS>        NAD
SKIN>        NAD
UROGENITAL>  NAD
LN>          NAD
H MURMUR?    no, rate 120 regular 
CHEST AUSC>  NAD
ABDO PALP>   NAD
MUS/SKEL>    NAD walking normally

Assessment: discuss chicken meat isn't a balanced diet suitable for long term feeding.
adv to try Prime 100 roll, or another balanced dog food and feed nothing else for several days until he eats it.
check that worming is being done and included HWP
Laboratory: ()
Treatment: nobivac DHP s/c with KC s/c

Plan: ()