C10029399 / invoice 10000

Reason: Diarrhoea + Vomiting All Day + Dry RetchingHistory: Last week:- Change in his behaviour; barking in the mornings, bed was all wet (smelt like urine)- Last few days has been fine- This morning had really runny diarrhoea, lots of vomit all over his bed - vomited all his food from last nightThen noticed two patches of white vomit in the garden; potentially vomited last night and didn't realise- Started vomiting foam and all his poos have been runnyHas been quite lethargic today; hasn't been fed anything at allLast night had a bit of indian food; had some fried bread.Was trying to eat grassDiet: royal canin dry food; no raw foodFlea/tick/mite: BravectoWorming:DrontalExamination:  1. Demeanour: BAR  2. Heart: No heart murmur   3. Lungs: NAD  4. Eyes: NAD   5. Ears: NAD  6. Nose: Mildly stenotic nares   7. Oral Cavity: lower  right lip -hyperplasia compared to lower left ,lips not droopy just extra growth visible No distinct mass ,teeth appear healthy   8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: NAD   12. Rectal: good anal tone, soft stool staining gloves, profuse watery diarrhoea excreted after removing finger  13. Genital: NAD  14. Skin and Coat: NAD  15. Musculoskeletal/Gait:  Short tail  16. Nervous System: NAD  17. Behaviour: Good BUT does NOT tolerate bottom/hindlimb area being examined NAD = no abnormalities detectedAssessment: 11.3.21 Facial fold irritation - Neocort21.3.22 Vomiting bile, eating and poo fine - history of wet weather - Noroclav, Metrogyl9.5.22 Conjunctivitis bilaterally - worse in left - no corneal ulcer, no FB - Chloroint29.01.24: Moderate pododermatitis - Neocort, Iramine  29.01.24: Limping - No pain localised 29.01.24: Concerns of Lethargy - DDX: Pancreatitis, foreign body, food allergy/intolerance, dietary indiscretion, tumour, infectious, toxin, hypoadrenocorticism, etc.- trial Noroclav 18.05.2024: broken nail on right fore digit 2, Metacam23.3.25 - broken nail on right fore digit 24/7/25- increased frequency of urination, inappropriate urination , normal chem 10 and SDMA 25.7.25 Vaccination C7 + SR-12 / urination reports to be completely fine24.10.25- right lower lip visible 13.3.26 - GIT Upset; cerenia + Bland food dietPlan: 1. Yearly C7 vaccination due 25.7.262. Yearly heartworm prevention injection Proheart SR-12 due 25.7.263. Three monthly intestinal worming – Drontal 4. Flea and tick control - 3 monthly Bravecto or Monthly Nexgard Spectra. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.5. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.6. Microchip:- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.7. Brachycephalics (Short nosed breeds):- Wipe the facial folds daily to ensure the skin remains dry and free from infection.- Facial folds Neocort cream (antibiotic, anti-inflammatory and local anaesthetic) - Apply to the inflamed skin twice a day for 7-10 days, then use as required- Increased risk for Heatstroke: Provide a shallow pool of water that the pet can lie in on hot days. Provide plenty of water and shade. Do not cage animals outdoors without adequate water or shade. Keep pets indoors at very high temperatures.  Do not leave animals in closed compartments exposed to the oven effect of the sun.8. Consider Pet Insurance for your pet.9. Right Fore Broken nail: - resolved - Recheck if the toe becomes swollen or painful. Antibiotics or pain relief may be required.10. Lower urinary tract signs- 4.7.25 - increased frequency of urination, inappropriate urination, normal chem 10 and SDMA blood test. Urine test USG 1.014, no blood, no sediment- A course of Metacam anti-inflammatory was given- Consider 3-monthly urine test $123 to monitor11. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.12. Lower right lip - monitor for further growth of the gum - consdier investigating further with a fine needle aspirate- A fine needle aspirate can be performed and sent to an external laboratory for diagnosis, $316 plus recheck $75. The cytology results may indicate infection, inflammation, cancer or an undiagnostic sample. Further testing and/or treatment may be required, including, tissue biopsy, full blood tests, chest radiographs, specialist abdominal ultrasound, surgical removal, chemotherapy, radiation, or antibiotics.- recheck if causing any issues 13. Gastrointestinal upset:Gastroenteritis refers to inflammation of the gastrointestinal tract (stomach, intestines). This inflammation can result in abdominal discomfort, vomiting, diarrhea, loss of appetite, and/or lethargy. Gastroenteritis has a very broad spectrum, causing only mild symptoms, or it may progress to more severe symptoms. Animals suffering from gastroenteritis can quickly become dehydrated as they lose fluids via their gastrointestinal tract (vomit or diarrhea) and then do not eat or drink enough to make up for these losses. The severity of the animal’s clinical signs determines whether outpatient treatment is acceptable or if further testing and hospitalisation are required.Common causes of gastroenteritis include changes to an animal’s normal diet, dietary indiscretion, infections (bacterial, viral, parasitic), toxins, or taking certain medications, among others. The diagnosis is typically made based on an animal’s history or by excluding other potential causes of vomiting and diarrhea. In most cases a specific underlying cause is not identified, and most patients respond to supportive care.- Feed a bland diet for a few days, i.E. Boiled chicken and rice or Royal Canin Gastrointestinal Low Fat (a food designed to support digestive tract health). Then if all OK, reintroduce the normal diet.- Lectade – Oral Rehydration Therapy – Mix Sections A and B together in 2L of warm water, stir until dissolved, refrigerate unused solution.- A 24 hour antinausea injection (Cerenia) was given on 13.3.26- Monitor the faeces for foreign bodies.- Monitor the energy levels, the appetite, and if there is any vomiting or diarrhea. Recheck if not improved $75, intravenous fluids $120, hospitalisation $50, radiographs $450-550, blood tests $699, Real PCR faecal test $433, specialist abdominal ultrasound $820, exploratory laparotomy from $1500, or food elimination trial may be required.13. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.    Vital Signs    Weight: 15.95;       MMColour: Pink;       RespirationRate: 24;       HeartRate: 120;       Temperature: 38.4;       BodyScore: 5;       DentalGrade: 0;       CRT: < 2 sec;       

Reason: Droopy MouthHistory: Mouth drooping for about a week on right side Drooling more than normal No neurological signs eg head tilt, falling over, circling Examination:  1. Demeanour: BAR  2. Heart: No heart murmur   3. Lungs: NAD  4. Eyes: NAD   5. Ears: NAD  6. Nose: Mildly stenotic nares   7. Oral Cavity: lower  right lip -hyperplasia compared to lower left ,lips not droopy just extra growth visible No distinct mass ,teeth appear healthy   8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: NAD   12. Rectal: good anal tone  13. Genital: NAD  14. Skin and Coat:   15. Musculoskeletal/Gait:  Short tail  16. Nervous System: NAD  17. Behaviour: Good BUT does NOT tolerate bottom/hindlimb area being examined NAD = no abnormalities detectedAssessment: 11.3.21 Facial fold irritation - Neocort21.3.22 Vomiting bile, eating and poo fine - history of wet weather - Noroclav, Metrogyl9.5.22 Conjunctivitis bilaterally - worse in left - no corneal ulcer, no FB - Chloroint29.01.24: Moderate pododermatitis - Neocort, Iramine  29.01.24: Limping - No pain localised 29.01.24: Concerns of Lethargy - DDX: Pancreatitis, foreign body, food allergy/intolerance, dietary indiscretion, tumour, infectious, toxin, hypoadrenocorticism, etc.- trial Noroclav 18.05.2024: broken nail on right fore digit 2, Metacam23.3.25 - broken nail on right fore digit 24/7/25- increased frequency of urination, inappropriate urination , normal chem 10 and SDMA 25.7.25 Vaccination C7 + SR-12 / urination reports to be completely fine24.10.25- right lower lip visible Plan: 1. Yearly C7 vaccination due 25.7.262. Yearly heartworm prevention injection Proheart SR-12 due 25.7.263. Three monthly intestinal worming – Drontal 4. Flea and tick control - 3 monthly Bravecto or Monthly Nexgard Spectra. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.5. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.6. Microchip:- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.7. Brachycephalics (Short nosed breeds):- Wipe the facial folds daily to ensure the skin remains dry and free from infection.- Facial folds Neocort cream (antibiotic, anti-inflammatory and local anaesthetic) - Apply to the inflamed skin twice a day for 7-10 days, then use as required- Increased risk for Heatstroke: Provide a shallow pool of water that the pet can lie in on hot days. Provide plenty of water and shade. Do not cage animals outdoors without adequate water or shade. Keep pets indoors at very high temperatures.  Do not leave animals in closed compartments exposed to the oven effect of the sun.8. Consider Pet Insurance for your pet.9. Right Fore Broken nail: - resolved - Recheck if the toe becomes swollen or painful. Antibiotics or pain relief may be required.10. Lower urinary tract signs- 4.7.25 - increased frequency of urination, inappropriate urination, normal chem 10 and SDMA blood test. Urine test USG 1.014, no blood, no sediment- A course of Metacam anti-inflammatory was given- Consider 3-monthly urine test $123 to monitor11. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.12. Lower right lip - monitor for further growth of the gum - consdier investigating further with a fine needle aspirate- A fine needle aspirate can be performed and sent to an external laboratory for diagnosis, $316 plus recheck $75. The cytology results may indicate infection, inflammation, cancer or an undiagnostic sample. Further testing and/or treatment may be required, including, tissue biopsy, full blood tests, chest radiographs, specialist abdominal ultrasound, surgical removal, chemotherapy, radiation, or antibiotics.- recheck if causing any issues 13. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.    Vital Signs    Weight: 17.53;       HeartRate: 130;       

Reason: Vaccination And Sr12Appointment Notes: Overdue reminders  ------- Sms reply: YStaff Initial: RF1. Confirm name, address, phone and email details are correct. YES2. If this is a new patient, has the health questionaire been completed? If No, complete the questionaire.3. If this patient requires blood or urine tests, collect the sample. 4. Does the pet have pet insurance? If yes, confirm if using GapOnly service today or if history & invoice needs to be emailed. Provider and policy number required for GapOnly. YES5. Will you be using VetPay? Check the file to see if this has been used previously. If yes, obtain the client’s VetPay PIN number and confirm they are the account holder or authorised user, and bill ‘A Vetpay’ questionnaire to be completed at the end of the consultation. NOHistory: Previous urination issue 1 month ago - 4.7.25 - frequent urination and urine straining - USG 1.014, no blood, no sediment- resolved by about Day 7 after the last visit here - after having 5-day Metacam course- owner cannot recall any other changes leading to - but is fine now - smooth urine streamNever been a back issueBravecto + DrontalExamination:  1. Demeanour: BAR  2. Heart: No heart murmur   3. Lungs: NAD  4. Eyes: NAD   5. Ears: NAD  6. Nose: Mildly stenotic nares   7. Oral Cavity: clean teeth  8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: NAD   12. Rectal: good anal tone  13. Genital: NAD  14. Skin and Coat:   15. Musculoskeletal/Gait:  Short tail  16. Nervous System: NAD  17. Behaviour: Good BUT does NOT tolerate bottom/hindlimb area being examined NAD = no abnormalities detectedAssessment: 11.3.21 Facial fold irritation - Neocort21.3.22 Vomiting bile, eating and poo fine - history of wet weather - Noroclav, Metrogyl9.5.22 Conjunctivitis bilaterally - worse in left - no corneal ulcer, no FB - Chloroint29.01.24: Moderate pododermatitis - Neocort, Iramine  29.01.24: Limping - No pain localised 29.01.24: Concerns of Lethargy - DDX: Pancreatitis, foreign body, food allergy/intolerance, dietary indiscretion, tumour, infectious, toxin, hypoadrenocorticism, etc.- trial Noroclav 18.05.2024: broken nail on right fore digit 2, Metacam23.3.25 - broken nail on right fore digit 24/7/25- increased frequency of urination, inappropriate urination , normal chem 10 and SDMA 25.7.25 Vaccination C7 + SR-12 / urination reports to be completely fineVaccinations: Protech C3 - Distemper, Hepatitis and ParvovirusVaccinations: Protech C2i - Coronavirus and LeptospirosisVaccinations: Protech Bronchishield III - Kennel Cough - Parainfluenza and BordatellaTreatment:Gave 0.82 ml Proheart SC.Plan: 1. Yearly C7 vaccination due 25.7.262. Yearly heartworm prevention injection Proheart SR-12 due 25.7.263. Three monthly intestinal worming – Drontal 4. Flea and tick control - 3 monthly Bravecto or Monthly Nexgard Spectra. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.5. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.6. Microchip:- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.7. Brachycephalics (Short nosed breeds):- Wipe the facial folds daily to ensure the skin remains dry and free from infection.- Facial folds Neocort cream (antibiotic, anti-inflammatory and local anaesthetic) - Apply to the inflamed skin twice a day for 7-10 days, then use as required- Increased risk for Heatstroke: Provide a shallow pool of water that the pet can lie in on hot days. Provide plenty of water and shade. Do not cage animals outdoors without adequate water or shade. Keep pets indoors at very high temperatures.  Do not leave animals in closed compartments exposed to the oven effect of the sun.8. Consider Pet Insurance for your pet.9. Right Fore Broken nail: - resolved - Recheck if the toe becomes swollen or painful. Antibiotics or pain relief may be required.10. Lower urinary tract signs- 4.7.25 - increased frequency of urination, inappropriate urination, normal chem 10 and SDMA blood test. Urine test USG 1.014, no blood, no sediment- A course of Metacam anti-inflammatory was given- Consider 3-monthly urine test $123 to monitor11. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.12. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.    Vital Signs    Weight: 16.29;       MMColour: Pink;       HeartRate: 120;       DentalGrade: 0;