C10026733 / invoice 10000

Appointment Notes: ?CG.  discharge from prepuceHistory:Discharge from penis/prepuce- happening over the last few months but getting worse. Eating/drinking okay but often has runny feceson dry food + veggies + other no issues with urine/urination Examine:BARmm pink, CRT < 2 secondsCardiac and resp auscultation WNL Pulses normalTemp: 38.0Teeth in good conditionSkin and coat in good condition Abdo palpation normal- no pain/abnormal massesEyes/ears NSFLymph nodes all WNLNo skin tenting/hydration normal Penis NAD- small amount of normal discharge at tip of prepuce Plan: Discussed with O- appears normal- no signs of any health issues will just need occasional cleaningWrote script for apoquel     Vital Signs    Weight: 48.2;       

Appointment Reason: Mouth Issues, Appointment Notes: ?BH 22/12 offered earlier appt if needed. will call if req.KJOkiver (Dog) - Consultation [Veterinarian : Cairns Vet Consults(No Preference)] - Swelling on LHS mouth (lips) -  - +61418729511 - -Natalie - WebbWeb BookingClient name: Natalie WebbContact number: 61418729511Email address: natalie@eccr.com.auPatient name: OkiverHx:confusion in bookingso thinks accidentally double booked was going to cancel today but thought might just come anywaygoing better - healingotherwise well Assessment:healing, no more purulent dischargeno charge as literally 1 min consult PLANrecheck @ end of this week if worse/INI     Vital Signs    Weight: 46;       

Appointment Reason: Wound/Sore, Appointment Notes: ?KJswollen lip, worsening over last 5 days - mdvRebooked from cancelled online booking:"Okiver (Dog) - Consultation [Veterinarian : Cairns Vet Consults(No Preference)] - Swelling on LHS mouth (lips) -  - +61418729511 - -Natalie - WebbWeb BookingClient name: Natalie WebbContact number: 61418729511Email address: natalie@eccr.com.auPatient name: Okiver"Hx:LHS lip/jowls - lesion/cut poss infected o first noticed a few days ago, now worseotherwise ok - EDDU normal, no CSVD, BAR at homeAssessment:superficial pyoderma LHS lateral lip - poss allergy given previous skin issues?rest of PE unremarkablePLANAmoxyclav 600mg PO BID for 5dVet recheck recommended in 7d if not resolved.  22/12/2025 10:00:40 AM CG:F/up SMS sent    Vital Signs    Weight: 46.7;       MMColour: Pink;       HeadEyes: Normal;       Nose: Normal;       Skin: Abnormal (LHS lateral lip 3cm area of bruising and small amount of purulent discharge. no obvious wound/cut/lesion. not painful on palpation. );       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       Demeanour: BAR;       Hydration: Normal;       HeartRate: 96;       RespirationRate: 20;       BodyScore: 5;       DentalGrade: 0;       CRT: 1-2;