C10026200 / invoice 10000

Reason: 6 Monthly Check Appointment Notes: Has ordered Bova meds  ------- Sms reply: YHISTORY:Churro, a 10-year, 5-month male neutered Chihuahua, presented for a health check.A few weeks ago, exhibited pre-seizure-like behaviour, including wandering, but no seizure occurred.Eating and drinking well. Bowel and urinary habits are normal.Bloods were last performed in August 2025.Current meds: Phenobarbital 40mg/ml 0.25 mls orally twice daily for epilepsy.Vaccination: C5 vaccination administered today.Parasite Prevention: NexGard Spectra UTDPre-existing conditions: Epilepsy.Access to toxins eg. Rodenticide: noneDiet: Combination of Royal Canin sensitive chicken and rice (wet food) and Royal Canin senior 8+ biscuits.EXAMINATION:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: 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: grade 2 - Abdominal: no detectable pain on abdominal palpation- Rectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: NSFLymph Nodes: NSFEyes: NSFDemeanour/Behaviour: Bright, alert, and responsive.PROBLEM LIST:- Epilepsy (controlled)- Mild dental tartarDIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Epilepsy.DIAGNOSTICS:NoneASSESSMENT:Churro presented for a routine health check and vaccination. He is a 10.5-year-old Chihuahua with a history of epilepsy, well-controlled on phenobarbital. Examination was unremarkable, apart from mild dental tartar. He is considered a high anaesthetic risk due to age and pre-existing conditions.TREATMENT:- C5 vaccination administered.- Nails trimmed.- Continue phenomav at current dose. -Dispensed pentobarbitone 40mg/ml 50ml bottle Give 0.25mls bid po. Billed on previous visit. PLAN:- Continue current diet and parasite prevention.- Encourage home dental care (brushing, dental treats).- Recheck in 6 months for a health check and blood work to monitor organ function due to long-term use of phenomav. - Return sooner if any concerns arise, particularly regarding seizure activity.- Home into owner's care.CLIENT COMMUNICATION:Discussed Churro's overall good health. Advised on the importance of home dental care to manage tartar build-up and potentially avoid a future dental procedure, noting the high anaesthetic risk. Confirmed continuation of phenobarbital. Advised to monitor for any changes in behaviour and to return for a 6-month health check. The total cost of the consultation, vaccination, and medication was quoted at $374.30, which the owner approved.    Vital Signs    Weight: 6;       HeartRate: 120;       DentalGrade: 2;       RespirationRate: pant;       Temperature: 38.3;       CRT: 1-2;       MMColour: pink, moist ;