C10030443 / invoice 10000

PHONE CALL / IN PERSON / EMAIL / SMS TIME:DISCUSSION ABOUT: dog was given ham by a stranger, has started having D++, declined food last night, usually gobbles it straight down. offered chicken and rice dog ate but threw it all up.last full meal he had was this morning, so far has kept it down, no signs of throwing it up. day 4 of D+PLAN:    REASON FOR VISIT: Is pet insured - IF A PUPPY/KITTEN Petplan IVC signed up today by ( ) after vet visit = Vaccination History - Parasite prevention - Any health problems - On any medication - On any special diet - Previous Vet Hospital - Consultation notesHR / PR = RR = Temp = MM = OTHERS:O:EENT : Eyes clear no d/c or signs of inflammation.- No signs of dental dz - no nasal d/c - ears clean not inflamed or red NAD - no inc upper airway sounds THORAX: Lungs: normal BV sounds bilaterally; no crackles or wheezes detected - Heart auscultation: Normal rhythm, No arrhythmia, No murmur noted ABDO: Soft and comfortable on palpation, no pain or organomegaly noted, kidneys smooth and round , soft intestines with no inc in gut sounds LN: NAD & WNL INTEG: Coat is soft and clean; No lesions, inflammation or parasites detected.Genitourinary: NAD : no discharge or odour Bladder wnlMSk/NEURO: NADA: DDx - P:Treatment Given / Medication dispensed :R/V:BLOOD RESULTS:- OWNER OFFERED BLOODS - ACCEPTED OR DECLINED

REASON FOR VISIT:FOLLOW UP / RECHECK CONSULT Hx : Exam: HR / PR = RR = Temp = MM = OTHERSmall droplet right anal gland Assessment : Situation is improving / stable / worse Treatment :Plan :

REASON FOR VISIT:FOLLOW UP / RECHECK CONSULT Hx : Exam: HR / PR = RR = Temp = MM = OTHERAssessment : Situation is improving / stable / worse Treatment :Plan :