C10026227 / invoice 10000

Appointment Notes: ------- Sms reply: YesRevisitRecord is CompleteVet/Nurse (Initials) TJ, JEB, AKXSummary:Floki presents for recheck of SRMA; he is doing well at home with no signs of recurrence of SRMA on clinical examinationPrednisolone will be stepped down to 5 mg EOD PO; next revisit in 1 month, at which time we may d/c pred if all is well.History:Previous presenting problems and/or diagnoses:SRMA, diagnosed based on CSF tap, 27/10/25, treated with prednisoloneProgress: Floki has been doing well since last visit with no signs of neck pain or neurological symptoms. Currently on prednisolone  5 mg once daily. He is only interested in a meal once a day, usually the evening meal.  He has gained weightCurrent medications: Prednisolone 5 mg PO SID - client reports no difficulty medicating. Last dose given this morning.Other concerns: None discussedConcurrent or prior pertinent disease: Previous episode of diarrhoea 16/12/2024 following raw lamb bone ingestion, managed conservatively. SRMA diagnosed 27/10/2025 following CSF tap showing neutrophilic pleocytosis. Initial CRP >100, normalised on treatment.Previous medications: Completed course of clindamycin 450mg BID for 2 weeks in case of protozoal infection.Physical Examination: Mentation - stressed, likely resulting in hyperthermia.  Otherwise brightOral/Dental Score: 2/4Body Condition Score: 8/9Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, panting, no nasal dischargeNeurological: normal stance and gait, no neck pain, normal menace, palpebral, facial sensation, eye positionMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painAbdominal: no detectable pain on abdominal palpationRectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: NSFLymph Nodes: NSFEyes: NSFAssessment: SRMA responding well to prednisolone therapy. No current signs of neck pain or neurological deficits.Plan: Diagnostics: CRP - 2.1 mg/L - normalTherapeutic: reduce prednisolone to 5 mg eod POFollow up: Next check in 1 month, examination and CRP.  If all normal stop predClient Communication: Discussed normal CRP and signs; dose reduction and next appointment    Vital Signs    Weight: 47.8;       MMColour: pink;       Temperature: 39.3;       HeartRate: 132;       BodyScore: 8/9;       DentalGrade: 2;       RespirationRate: panting;       CRT: 1;