C10023344 / invoice 10000

Reason: Coughing- Diagnosed IMHAAppointment Notes: Overdue reminders. Coughing since midday today. Coughing fit every 5 minutes. Still alert, eating, drinking. Andrea vetcxpopped straight into consult 3 - no vaccinated due to condition so worried it is possibly kennel cough SCH--- 12/03/2026 5:03:18 PM DEO:Flea & Tick 3 Month Bravecto - Skipped on 1/03/2026History: Current Medications and Doses:Examine:     Demeanour:    Eyes:    Ears:    Dental:         Gingivitis:    /3         Calculus:     /3    Skin/Coat:    Cardiovascular:     Abdominal:    Musculoskeletal:    BCS: Laboratory: Differential Diagnosis: Treatment: Plan:Verified: NoHISTORYPresenting for: Daisy presented for persistent coughing that continues throughout the nightHistorical Conditions:- IMHA (immune-mediated haemolytic anaemia) - blood test performed by Tim, contraindicated vaccination due to increased risk- Vaccine reaction in 2022V/D/C/S:- Coughing persistently, particularly severe at night, ongoing episodesCurrent Meds:- Unable to be vaccinated due to IMHA riskLifestyle Risk Factors:- Limited exposure to other dogs, most contacts are vaccinated dogsEXAMWt: 9 kgRespiratory: Coughing noted during examination, consistent with kennel cough presentationASSESSMENTKennel cough - Clinical presentation consistent with infectious tracheobronchitis, can occur even with limited exposure to other dogs and despite vaccination status of contactsPLANNew Meds/Tx:- Metacam once daily for 5 days for anti-inflammatory supportAdditional Discussion:- Discussed that kennel cough can transmit even from vaccinated dogs and is generally self-limiting like a cold in humans- Patient placed in isolation room due to coughing as standard protocol for any coughing dog- Monitor for systemic signs (fever, inappetence, lethargy) or lung involvement that would warrant antibiotic therapy with doxycycline- Vaccination remains contraindicated due to IMHA history and associated risks    Vital Signs    Weight: 9;       Temperature: 38.9;