C10023519 / invoice 10000

12/03/2026 Reason/concerns:  Licking bottom

History:
Jen
EDUF normal with good appetite
Diet 
Yesterday morning - started licking bottom. Afternoon - red and no lump noted
This morning noted a lump on the bottom, used to have AG issue when young
Unilateral dysfunctional AG

Gabapentin given this mornign, and 12pm

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).

Examine: 
Mentation: BAR
BCS:                           /5   
MM: Pink          
CRT: 1-2 seconds
HR:                             beats/min
RR:                             breaths/min
Temperature:              degrees Celsius

Ocular: No abnormalities noted on cursory examination of both eyes.
Oral/Dental stage: Some gingivitis and calculus observed.
Ears: No abnormalities noted on cursory examination of both ears.
Cardiovascular: No audible murmur or arrhythmia and no difficulty hearing the heart. HR = PR and no evidence of hypoperfusion.
Respiratory: Respiratory rate and effort considered normal for the patient.
Gastrointestinal: No pain on abdominal palpation. No masses or abnormalities palpated.
Integumentary: No significant abnormalities.
Musculoskeletal: Normal gait and strength noted. No evidence of lameness.
Urogenital: No significant abnormalities noted during routine physical examination.
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:

Patient Assessment: 

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

Treatment with medication 
dose rates (if any):

Client Communication
& Plan: 
(see attached vetcheck client information sheets if provided)

On-going medications required: Y/N (use prescription tab for further supply):

Next check up date: