C10027585 / invoice 10000

Appointment Notes: Overdue remindersHistory: BIB: Vanessa (lovely)Vaccines: Due for KC & Lepto 2Parasite Prophylaxis: Nexgard spectra monthly + tapewormer q3moEDDU: WNLExamination:BARBCS: 2.5/5Eyes: ClearEars: ClearMouth: Dental disease grade 3 - 50% tartar coverage on canines, premolars and maxiliary carnassials. 2mm gingivits present on both maxiliary quadrants CRT:  1s, MM p&m Peripheral lymph nodes: WNLCardiac: Grade 2/6 systolic left heart murmurThoracic: ClearFemoral pulses: S&S Abdo: ClearOrthopaedic: Clear Skin: Two lumps - Cranial lump around 2cmx2cm, well circumscribed. 2nd lump caudally on sternum, bilobed, 1cm in diameter, well circumscribed, mobile. Both subcutaneousAssessment:FFVDental disease grade 2-3 - dental procedure inidcatedHeart murmur - o currently monitoring post echocardiogram 05.2025 - due for echocardiogram howeverTreatment:Lepto 2 given SC between scapulaeBatch no. A003A01Expiry: 10.2026KC Intranasal given Batch no.  2511209Expiry: 12.2027Plan:KC due in 12 monthsLepto due in 2-4 weeks - can be done during dental booked in 2 weeksDental procedure booked for 2 weeks - will perform FNA of chest lumps during procedure    Vital Signs    Weight: 9.4;