C10024994 / invoice 10000

Appointment Reason: Constipation, no stool for 3days, v+ on and off every couple days. BAR inbetween v+. eating normal. cpHx:Milo - has vomited intermittently since BIOP, yellow frothy vomit, often in mornings. Eats well and always hungry.Freddie - didnt do this initially.Both vomited after starting black hawk food. And Milo vomiting every 2-3 days since then, Freddie also v+ but not as frequently.Milo faeces intermitently sloppy, Freddie faeces normal.Owner has started to feed chicken + pumpkin and dogs still vomiting.Dogs came to owner eating Baxters from supermarket and trying to transition but dogs keep being unwell.Examination:Vitals - NormalThoracic Auscultation - Normal, no adventitious lung soundsAbdominal Palpation - Normal, no masses, no foreign body palpated, not painfulSkin/Haircoat - NormalEyes - Normal. PLR even, corneas glossyEars - Normal. Both no smell, no inflammationNose - no nasal discharge, nares normalMouth - Checked. Calculus/Gingivitis = grade  0Musculoskeletal - NormalUrogenital - NormalNeuro - NormalAssessment: Dietary IndiscretionTreatment:1. Gastro food - small and frequent for 48hrs then slowly increase amount and decrease frequency2. AmoxyClav 2x50mg po BID 5d3. Prokolin BID until finishedPlan:O' to give update in 5d. Can then discuss transition back to regular foods.    Vital Signs    Weight: 5.4;       MMColour: Pink;       RespirationRate: 32;       HeartRate: 118;       Temperature: 38.6;       BodyScore: 4;       CRT: 1-2;       

Appointment Reason: Vaccination, Appointment Notes: second pup BG  ------- Sms reply: YReason: Vacc C5History: No Concerns. EDDU norm. No V/D or coughing on regular basis.Current Preventatives:Examination:Vitals - Normal, BAR, mm pink, CRT 1-2Thoracic Auscultation - Normal, no adventitious lung soundsAbdominal Palpation - Normal, no masses, no foreign body palpated, not painfulSkin/hair coat: NormalEyes - Normal. PLR evenEars - Normal. Both no smell, no inflammationMouth - Checked. Calculus/Gingivitis = grade  Musculoskeletal - NormalUrogenital - NormalNeuro - NormalAssessment: Ok to Vacc todayTreatment:   Nails clipped. Plan:    Vital Signs    Weight: 4.8;       

    Vital Signs