C10024490 / invoice 10000

Subjective: SHaking head and scratching L ear.EDDU normally, no other concerns. Dog was QAR, ambulant well, nervous, easy to examine. Objective: HR/PR/CV: 120 nadMM/CRT/Hydration: pink moist 1s adequate  RESP/RR:  nadTemp: neGIT/UG:  nadSkin/Ears: L pinna moderate erythema, brown discharge; R pinna canal nad M/S: nadEyes: nadDental: both maxillary decidious canines present Lymph Nodes: nadBCS: 5/9Assessment: otitis externa L ear Retained decidious canines x2Treatment: Dermotic 1ml L ear BID Plan: Owner have experience of dog with chronic OE. Monitor deciduous canines, if not fallen out by 9 months of age should get it extracted surgically. ok for desexing in 3 days with OE.     Vital Signs    

Appointment Notes: ------- Sms reply: YesSubjective: Nellie here for her final puppy vax Going really well at home, getting along with Molly (other older dog) EDDU wellUTD worming with nexgard spectraObjective: BARHR/PR/CV: 120bpm, no murmur MM/CRT/Hydration: mm pink moist, crt <2, skin tent okRESP/RR: clear lung ausc Temp: not taken GIT/UG: soft and comfortable, no hernia palpated Skin/Ears: nad M/S: ambulating well Eyes: nad Dental: puppy dentition, good occlusion, no cleft palate Lymph Nodes: wnl BCS: 5/9Assessment: Healthy puppy fit for vaccination Treatment: Duramune C4 S/C Plan: Annual adult vax due in 12 monthsDiscussed desexing at 6 months Continue nexgard spectra q1 monthly Ok to interact with other adult dogs 2 weeks from today's final vax    Vital Signs    Weight: 3.4;       

Appointment Notes: Vaccination  ------- Sms reply: YesSubjective: BIOP for a week, from Victoria Getting along well with other older dog at home EDDU wellDiet: chicken mince + diet puppy kibble Not UTD with any worming Objective: BAR, sweet puppy HR/PR/CV: 120bpm, no murmur MM/CRT/Hydration: mm pink moist, crt <2, skin tent ok RESP/RR: clear lung ausc Temp: not taken GIT/UG: soft and comfortable on abdo palpation. no umbilical hernia Skin/Ears: nad M/S:  ambulating well, good ROM of hips Eyes: nad Dental: puppy dentition, no cleft palate, good occlusion Lymph Nodes: wnl BCS: 5/9Assessment: Healthy puppy fit for vaccination Treatment:Duramune C4 S/C batch 5260011, exp 30.10.2026 Bronchishield oral batch 5245045B, exp 19.11.26 Nexgard spectra orange 2-3.5kg administered PO in consult - sample pack given Plan: Final puppy vaccination due in 4 weeks - discuss desexing Continue nexgard spectra q1monthly Advised against interaction with adult dogs in public until 2 weeks after final puppy vax     Vital Signs    Weight: 2.47;