C10028114 / invoice 10000

Reason: Follow UpHistory: O reports has not been coughing as much and improved overall.,Has not noticed excessive thirst or  incontinence SRR measured as 25-26 Two episode of coughing with some phlegm Vaccination: UTD Tick/flea/worming /heartworm: Nexgard Spectra Current Medicationscardisure 2.5mg PO BIDFrusemide 2mg/kg calvulox PO BID Physical Examination: Behaviour: BAR ANXIOUS Neurological: proprioception and mentation normal Eyes: B/L cataracts. Ears: clean no dis charge Oral/Teeth: 2-3/4 PLNil;: No lymphadenopathy Respiratory: normal rate with no crackles noted. Cardiovascular: MM pink , moist CRT <2s, regular heart rhythm, 5/6 LHS murmur rate 124Abdominal: relaxed, soft, non tender, no masses palpable Integument: skin clean no lesions visible Musculoskeletal: No pain or lameness BCS: 5/9 Urogenital: external appearance normal Temp: 38.Rectal: not performed today Diagnosis: Heart murmur ddx: MMVD, other Coughing ddx: CIRDC, CHF CCB, LP, TC, bronchomalacia, neoplastic, infectious, Other Likely progression of MMVDAdvised O patient has responded to Furosemide and course of oral antibiotics. Recommended finishing remaining oral antibiotics and continuing Furosemide 10mg PO BID. Advised O continue monitoring SRR. If coughing returns after finishing oral antibiotics review will be required as may need increased Furosemide Dose Laboratory: Plan: 1. Continue cardisure 2.5mg PO BID2  Continue Frusemide 2mg/kg BID 3 Finish any remainng calvulox PO BID 4 continue monitoring  SRR5 review if concerns of coughing worsens 06/03/2026 : Dr Michael Valentine BVSc.(Hons), BNgMiss L Chapman : Jax : Dog 9.4kg100.00 x Frusemide 20mgGive HALF tablet by mouth every 12 hoursKeep water available at all timesVet recheck due SEPTEMBER 202629/12/2025 : Dr Michael Valentine BVSc.(Hons), BNgMiss L Chapman : Jax : Dog 9.3kg90.00 x Cardisure 5mg Chewable Tablet  Give HALF tablet twice daily by mouth 1 hour before food (on empty stomach).Vet recheck due on September 2026    Vital Signs