C10023997 / invoice 10000

Reason:  
History: 

Current medications: 

What Preventative health cover is being used and do you need to purchase any today?
Vaccination:
Worming: 
Flea control: 
Heartworm Prevention: 

Examine: 
Mentation: 
Body condition score: 
MM:                CRT: 
HR:                RR: 
LN: 
Temperature: 

Ocular: 
Oral/Dental stage:
Ears: 
Cardiovascular: 
Respiratory: 
Gastrointestinal: 
Integumentary & lumps (measurement, location):
Musculoskeletal: 
Urogenital: 
Neurological: 

Ears:
- Left: nad
- Right: copious black discharge present, 

Problem List/Assessment: 
Unilateral OE, Malassezia and cocci present on cytology. 

Plan: 
Home with tapering prednislone and dermotic BID for 10 days. 
Adsvis

Reason:  Travel sickness
History: 
- About to go on a tip and both get quite car sick 

EDUD: All normal
Diet: Billy and Margot - salmon 
V+/D+/Coughing: None
Pre-existing conditions: None
Current medications: None
Previous adverse reactions (vacc/meds): None
Prophylaxis: UTD

Examine: 
Mentation: 
Body condition score:  3/5
MM: P/M
CRT: <2s
HR: 100 w/ no murmur or arrythmia auscultated             
RR: wnl w/ no adventitious sounds auscultated
LN: Submandibular, prescapular, and popliteal WNL
Temperature: NE
----------------
Problem List/Assessment:
- Fit for medication

Treatment: 
- Ondansetron 4mg 1-2hours before travel (up to 1.5 tablets max)

Reason: Nail clip
Consult Nurse: NA 
History:
     EDUF: all ok 
     V#/D#/Coughing? No
     
What Preventative health cover is being used and do you need to purchase any today? on twp
Vaccination: utd
Worming: utd
Flea control: utd
Heartworm Prevention: utd

Examine:
     General Appearance: Good
     Body Score: 3.5/5
     Coat/Skin: NAD
     Ears/Eyes: NAD
     Dental Stage: 1-2 limited exam

Microchip: scanned on file

Assessment: Good health

Treatment: 
Performed in consult with o holding
P well behaved.
Nails clipped only able to be taken approx 3mm off each
Anal sacs also expressed. 
Both moderately full, expressed easily. Material all wnls

Email Sent: n/a

Next Appointment: o to advise