C10027712 / invoice 10000

vacc
Primary/Suspect diagnosis/location: (Vaccination & ear infection)
Suspect cause: (Bacterial ear infection)
Any other conditions being treated [if any]: (nil)
Known health concerns: (Kidney disease)
Date of first clinical signs [if known]: (5/3/26) 


History:
Reason: (vaccination)
Diet: ()
Preventatives: ()
Medications: ()
EDDU: ()
Coughing/Sneezing: ()
Vomiting/Diarrhoea: ()
Current Diagnoses: ()
Hx:
()

Examination:
DEMEANOUR: ()
MENTATION: ()
GENERAL: BCS: ()/9; HR: (); RR: (); MM: p,m; CRT: <2; T: ()
EARS: no discharge, swelling or erythema
EYES: no discharge or erythema
NOSE: no discharge
ORAL: no discharge or halitosis; ()/4 dental disease
CV: no murmurs or arrythmias
RESP: clear bronchovesicular sounds on all fields with normal effort
ABDO: comfortable; no palpable abnormalities
UROGEN: no discharge or swelling
MSK: normal gait
NEURO: no gross defecits noted
DERM: no external parasites; good coat; no lesions, pruritus or erythema
LYMPH: no peripheral enlargement
RECTAL: not assessed

Problem list:
()

Diagnostics:
()

Assessment:
(fit for vaccination)

Client Communication:
()

Treatments:
(vaccinated with nobivac flex DHP SC; B:(), E:(), L:()
vaccinated with nobivac BB/Pi SC; B:(), E:(), L:()
vaccinated with nobivac KC; B:(), E:(), L:(intranasal)
administered ()mL proheart SR12 SC; B:(), E:(), L:()
administered ()mL bravecto quantum SC; B:(), E:(), L:()
administered bravecto chew orally
applied bravecto spot on topically
administered intesinal wormer orally
administered simparica trio orally)

Plan:
(vaccination due in ()
worming due in ()
flea/tick prevention due in ())

Discharge Instructions:
()