C10025782 / invoice 10000

Reason: Dental Check + Bloods + Bringing In Urine - BSAppointment Notes: Special payment terms exist, Overdue reminders  ------- Sms reply: YNurse History:Done by TOSFood: Rice + Chicken + Raw SupermarketFaeces is runny after chicken breast13.02.26 AM owner noticed blood in faecesNo V+Not UTD Parasite PreventionHISTORY:C/O: Annual health check, bloods, and urine test requested by owner.Owner notes occasional morning eye discharge.History of loose stools after eating chicken.Fussy eater.Previous bloods were normal.Current meds: noneVaccination: Not mentionedDiet: Fussy eater. Eats cooked food, sometimes human food. Owner advised against human food due to risk of pancreatitis and weight gain. Advised on balanced cooked diets requiring veterinary nutritionist consultation or good quality pet food. Discussed feeding strategies for fussy eating.Parasite Prevention: Not mentionedPre-existing conditions: noneAccess to toxins eg. Rodenticide: noneTRIAGE:Demeanour/Behaviour: not discussedEXAMINATION:Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:Oral: normal, no mouth pain, dental score (1-4): grade 1Abdominal: no detectable pain on abdominal palpationRectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: NSFLymph Nodes: NSFEyes: NSFAnal glands: not discussedDemeanour/Behaviour: Quiet and calm.PROBLEM LIST:Stage 1 dental disease (tartar on canines and molars).DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Stage 1 dental disease.DIAGNOSTICS:Bloods and urine collected for external lab analysis.ASSESSMENT:Presented for a routine health check. Clinically well on examination. Mild tartar build-up (Stage 1 dental disease) was noted. Blood and urine samples were collected for routine screening as per owner's request.TREATMENT:Blood collection.Urine submitted for analysis.PLAN:Results of bloods and urine expected Monday. Will call owner with results.Owner to commence daily or every 2-3 day teeth brushing.Re-evaluate dental health at next annual check.Avoid feeding chicken.CLIENT COMMUNICATION:Discussed the importance of a balanced diet and the risks of feeding human food, including pancreatitis and obesity.Advised on feeding strategies for a fussy eater.Demonstrated Stage 1 dental disease. Recommended daily teeth brushing with dog-specific toothpaste and positive reinforcement. Advised that a professional dental procedure may be needed in 6-12 months if home care is unsuccessful.Discussed wellness plan options.    Vital Signs    Weight: 6.2;       

Reason: Weepy Right Eye (Discharge) Appointment Notes: Special payment terms exist, Overdue remindersREASON: Right eye redness and suspected conjunctivitis.HISTORY:Presented for assessment of the right eye. The owner noticed redness in the eye this morning. There is no history of pawing or rubbing at the eye.Eating and drinking as normal prior to todayNo vomiting or diarrhoeaPrevious relevant medical history:No underlying health concernsSubjective:QARObjective:CV: No heart murmur or arrhythmia noted. Femoral pulse strong & synchronousRESP: Normal bronchovesicular sounds, normal resp rate/effort.GIT: Soft and comfortable on palpation. No obvious fluid wave no organomegaly.U/G: NAD. Rectal exam not performed.Neuro: No neurological deficits observed. CN intact. CP and withdrawal.M/S: Able to right, rise and ambulate on all fours. No M/S pain evident on exam.Integ: Normal skin turgor.Ophth: Right eye exhibited conjunctivitis with yellow/green disc at medial canthus. A fluorescein stain was applied to the cornea, which was negative for any ulceration.Lymph Nodes: No evidence of peripheral lymphadenopathyPROBLEM LIST:Right-sided conjunctivitisASSESSMENT:Presented for an acute onset of right-sided ocular signs. On examination, signs were consistent with conjunctivitis. A fluorescein stain test was negative, ruling out a corneal ulcer. The presentation is consistent with allergic or bacterial conjunctivitis. TREATMENT:Topical antibiotic eye ointment to be applied to the right eye - chlorasone Plan:Diagnostic Plan: as aboveTherapeutic Plan: as aboveDischarge Plan: Discharge with instructions for medication administration and urine collection. Improvement is expected within 2-3 days. Re-presentation is advised if clinical signs worsen or fail to resolve.Referral Plan:Communication:Instructions for medication and urine collection were discussed with the owner and provided in writing. O was counselled that the condition should resolve with medication. Advised to follow up if there is no improvement.    Vital Signs    

Reason: Skin / Fleas / HeartwormAppointment Notes: Booked Online: 18/11/2025 19:56:39 PMBooking Type: Health CheckBooking Notes: Received email regarding skin allergy Fleas  and Heartworm  Owner Name: Parminder  KaurOwner Email: Raj2007reet@yahoo.com.auOwner Mobile Number: 0431004130Pet Name: CookiePet Species: DogWeb BookingClient name: KaurContact number: 0431004130Email address: Raj2007reet@yahoo.com.auPatient name: Cookie  ------- Sms reply: YHistory:NQR for last 1 week Recently moved house A week ago, the husband fed a new food item (small piece of sausage) The next day, it vomittied, but no more vomitting since Still eating and drinking at home, but a bit slow appetite DIET: Food from supermarketNO change in everyday diet APART from the sausage fed recently PREVENTION: NEXGUARD SPECTRA MONTHLY  (UTD with monthly prevention) No blood in faeces Objective: BAR Pink and moist mm, crt <2sLns WNLEyes, ears, nose: nad HR: 120  CV: good cardiac sounds. No murmur or arryhmia auslc.RR: panting    RE: normal resp effortResp: good clear bronchovesicular soundsGI: nadU/G: nadGait: ambulatoryMSK: nadIntegument: nadTemp: 38.7 Rectal exam: soft diarrhoea like poo (brown). No blood. Assessment:Acute onset of D+ Improving slightly on its own, but still softA bit reduced appetite but still eating Ddx: primary GI case vs secondary GI causeSuspected dietarty indiscretion from the sausage.  Advised bland diet, anti-nausea injection, prokolin - owner consented Treatment: Maropitant 1mg/kg = 0.6ml SC dorsal neck areaProkolin 3ml BID until finish Plan:Bland diet, boiled chicken and rice or PRIME 100 chicken and brown rice for a weekRevisit in 7 days if no improvement, then faecal sample send off indicated, informed client.Informed client no processed meats/sausages in future.    Vital Signs    MMColour: pink and moist ;       Weight: 6.0;       Temperature: 38.7;       HeartRate: 120 (pulse normal) ;       BodyScore: 5/9;       DentalGrade: 0;       RespirationRate: panting ;       PainScore: 0/4;       CRT: <2s;