C10025973 / invoice 10000

Reason: Rash - SC    Vital Signs    Weight: 30.7;       

Reason: Vacc - KMFOral BB/Pi2Pre-consult nurse:SUBJECTIVE:Presenting Concerns:-   Gumnut and Tulip presented for routine annual kennel cough vaccinations.  Additional Information:-   Both dogs are intact females. The owner is considering having them desexed and discussed the timing of the procedure. One of the dogs finished her estrous cycle approximately 3 weeks ago.-   A housemate dog, Frank, previously had an issue with constipation that has since resolved.  OBJECTIVE:Gumnut  Mentation: BAR  BCS: --/9  T: Not taken  P: 116  R: 24  MM: pink/moist. CRT < 2sec.  Hydration: Normal    Emotional Assessment: Friendly and approachable.    Eyes: Clear. No discharge or erythema bilaterally.  Ears: Clean with no discharge or erythema bilaterally.  Nose: Clear, moist without discharge.  Throat: No inducible cough upon tracheal palpation; no palpable masses.  Oral: Teeth are in fantastic condition.  Cardiovascular: No murmurs or arrhythmias, strong synchronous pulses.  Respiratory: Normal bronchovesicular sounds bilaterally.  Abdominal: No organomegaly or mass effects. No pain on palpation.  Lymph Nodes: No peripheral lymphadenopathy.  Integumentary: No evidence of ectoparasites, full coat with clear skin.  Neurologic: No ataxia, normal mentation.  Musculoskeletal: Ambulation normal, no lameness observed. Thick and muscular build.  Urogenital: Intact female, normal external anatomy.  Rectal: Not performed.    Tulip  Mentation: BAR  BCS: --/9  T: Not taken  P: 116  R: 24  MM: pink/moist. CRT < 2sec.  Hydration: Normal    Emotional Assessment: Calm and relaxed temperament.    Eyes: Clear. No discharge or erythema bilaterally.  Ears: Clean with no discharge or erythema bilaterally.  Nose: Clear, moist without discharge.  Throat: No inducible cough upon tracheal palpation; no palpable masses.  Oral: Teeth are in fantastic condition.  Cardiovascular: No murmurs or arrhythmias, strong synchronous pulses.  Respiratory: Normal bronchovesicular sounds bilaterally.  Abdominal: No organomegaly or mass effects. No pain on palpation.  Lymph Nodes: No peripheral lymphadenopathy.  Integumentary: No evidence of ectoparasites, full coat with clear skin.  Neurologic: No ataxia, normal mentation.  Musculoskeletal: Ambulation normal, no lameness observed. Thick and muscular build.  Urogenital: Intact female, normal external anatomy.  Rectal: Not performed.  ASSESSMENT:Gumnut & Tulip - Apparently healthy on physical examination.  PLAN:Vaccinations:-   Kennel cough vaccine administered IN to Gumnut.-   Kennel cough vaccine administered IN to Tulip.-   Vaccination certificates to be sent via email.  Medications/Treatments:-   Discussed desexing. The owner is considering the procedure and will schedule it at a later date.  Additional Discussion:-   The total cost for today's visit is $273.00.--- 14/10/2025 11:38:36 AM SKC:Examinations - Resolved - SMS Sent - SC    Vital Signs    Weight: 29;       

Duramune Oral BB/Pi2Pre-consult nurse:Vaccination status: DueFlea & Tick prevention: NGSWorming: NGSHeartworm: NGSOther medication: NilDiet: Dry food + wet food (Phoenix brand), chicken neck, mince (raw currently - preferred cooked) Microchipped: YesVIP:Insurance: YesClinical exam:Been in good health at home.Bright,Alert,ResponsiveHeart rate and respiratory rate wnls.Gums pink and well hydrated.Chest auscultation NAD.Abd palpation NAD.Aural exam NADSkin exam NADEyes NADOral exam NADMusculoskeletal system all okay.Neurologically appears sound.Lymph nodes all regular size.No obvious lumps or bumps.Rest of exam all okay..--- 16/10/2024 09:45:27 AM SKC:Examinations - Resolved - SMS Sent - SC    Vital Signs    Weight: 29.8;       RespirationRate: 20;       HeartRate: 80;       BodyScore: 5;