C10028553 / invoice 10000

Reason: Itchy Skin Appointment Notes: Other dog Hunter on Apoquel, O asked if they can share the meds. adv we need to see Arlo for this issue first + 5.4mg is higher dose that it should be. HUReason: Itchy skinClient Present:dylanNurse:mnHealthy Pets Wellness Testing: Done Yes / NoVaccination Type:utdIntestinal worming: spectraHeartworm Prevention: utdFlea Prevention: utdTick control: utdMicrochip:yesInsurance and Healthy Pets Plus:noBehaviour concerns:noCurrent medications:__________________________________________________________________________HISTORY:Arlo presents for skin examination. Seasonal allergies suspected as symptoms not present throughout the year. No changes in diet reported. No vomiting or diarrhoea.Current meds: noneVaccination: Not mentionedParasite Prevention: Not mentionedPre-existing conditions: noneAccess to toxins eg. Rodenticide: noneEXAMINATION:Body Condition Score: 6/9Pain Scale (0-4): 0Hydration status (%): euhydratedCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): 0- Abdominal: soft on palpation- Rectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: red staining to ventral abdomen, caudal abdomen with scabbing present. No other erythema present. Ears normal, no dischargeLymph Nodes: NSFEyes: clear, no dischargeDemeanour/Behaviour: not discussedPROBLEM LIST:Red staining and scabbing to ventral and caudal abdomenSeasonal allergiesDIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Seasonal allergiesDIAGNOSTICS:NoneASSESSMENT:Aller presented for skin examination with red staining and scabbing to ventral and caudal abdomen. Physical examination revealed normal cardiovascular, respiratory and other systems. Localised skin changes consistent with seasonal allergies given seasonal pattern and absence of other systemic signs.TREATMENT:Apoquel 5.4mg loading dose for 14 days then one tablet post loading doseMonitoring response to treatmentPLAN:Monitor response to Apoquel treatmentRe-evaluation as needed based on treatment responseCLIENT COMMUNICATION:Treatment plan discussed with owner regarding Apoquel therapy for seasonal allergies. Monitoring instructions provided for treatment response.    Vital Signs    Weight: 10;       

Reason: Hc And VacAppointment Notes: Overdue reminder Client Present:BothNurse:SGHPP Blood Test - When was it last done?Vaccination Type: dueIntestinal worming:negard spectra utdHeartworm Prevention:^^Flea Prevention:^^Tick control:^^Microchip:Insurance and Healthy Pets Plus:Behaviour concerns:Current medications:Current Diet:__________________________________________________________________________History: vaccs and discuss diet and weight today. No other concerns. Has become more fussy with food, refusing to eat kibble and only wants to eat meat/mince. Has gained alot of weight recently. Current Medication: none Examination: BarEddu normally. Tpr wnl. T 38.4, hr 120 bpm, rr panting Mental State: normalAnal Glands: normalEyes: normalEars: normalTeeth: Level * 1Mucous membranes: pink crt 1-2 s External Lymph nodes: normalHeart sounds: normalLung sounds: normalAbdominal palpation: normal Skin: normalGenitals: normalMusculoskeletal: normal Neurological: normalExternal parasites: none seen Bcs 7/9 Discuss weightloss and diet with O Diagnosis: fit for vaccTreatment Plan: C5Script Needed: Yes or NoRevisit Needed: Yes or No ________Days Please Pre BookReason: Nurse: -vaccination -heartworm -worming -flea/ticks Exam: Lab: Assessment: Treatment: Plan:--- 15/01/2026 10:18:47 AM AWT:Examinations - Resolved - sms sent AW--- 15/01/2026 10:18:50 AM AWT:Vaccinations - Resolved -    Vital Signs    Weight: 8.25;       

Reason: Vaccination and health check Client Present:Nurse:HPP Blood Test - When was it last done?Vaccination Type: C5 today Intestinal worming: simparica trio UTD. Used to use NGS and had reacted to it, no issue with simparica Heartworm Prevention:^^Flea Prevention:^^Tick control:^^Microchip:Insurance and Healthy Pets Plus:Behaviour concerns:Current medications:Current Diet:__________________________________________________________________________History: vacc. Today. Recovered well from desexing. Other dog in the house sucks Arlo ears alot, causing matting of his hair. Adv to try wound spray that tastes bad to try and prevent this Current Medication: noneExamination: BarEddu normally Tpr wnl. T 37.9, hr 110 bpm. Rr panting Mental State: normalAnal Glands: normalEyes: normalEars: normalTeeth: Level * 0Mucous membranes: pink crt 1-2 s External Lymph nodes: normalHeart sounds: normalLung sounds: normalAbdominal palpation: normal Skin: normalGenitals: normalMusculoskeletal: normal Neurological: normalExternal parasites: none seen Bcs ideal Diagnosis: fit for vaccTreatment Plan: C5 and wound gard for ears to prevent other dog sucking her ears. Script Needed: Yes or NoRevisit Needed: Yes or No ________Days Please Pre BookReason: Nurse: -vaccination -heartworm -worming -flea/ticks Exam: Lab: Assessment: Treatment: Plan:--- 03/12/2024 17:14:01 PM VWJ:Vaccinations - Resolved ---- 03/12/2024 17:14:03 PM VWJ:Examinations - Resolved -    Vital Signs    Weight: 7;