C10030778 / invoice 10000

Appointment Notes: Booked Online: 11/03/2026 12:21:20 PMBooking Type: Skin, Ears, Eyes or LumpsOwner Name: Todd Noble-RodriguezOwner Email: noblet1981@gmail.comOwner Mobile Number: 0406451237Pet Name: NalaPet Species: DogWeb BookingClient name: Noble-RodriguezContact number: 0406451237Email address: noblet1981@gmail.comPatient name: Nala  ------- Sms reply: YReason: History: Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:    Vital Signs    

Reason: VaccinationHistory: EDDU normally. No vomiting or diarrhoeaDoin well on cytopointVery anxious at vets O cleans teeth at home with a dental kit.No concernsDiet: dry food + leaps and bounds wet foodVaccinations status: C3 UTD. KC dueCurrent meds: nilExamination: Quite anxious. Happily ate treats and had patsMusculoskeletal: Normal ROM in all joints. No reaction to vertebral palpation.Skin: NVAAbdomen: Soft and comfortable. No hernia or masses on palpation. NVACardio: Rate, rhythm & sounds WNL. No murmur audible. HR WNLRespiratory: Lung sounds clear. No wheezing or crackling audible on auscultation. Respiratory effort WNL. PantingLymph nodes: Submandibular, popliteal, inguinal & prescapular WNL. Eyes: Eyelids in tact, no entropion. NVA on brief exam. Ears: Clean. NVAUrogenital: Normal conformation. No abnormal discharge or evidence of incontinence. NVAOral cavity: Normal occlusion. No broken teeth. Grade 2 calculus and plaque on 108 and 208. Grade 1 dental disease.Neurological exam: NEAssessment: OK to vaccinate todayTreatment: Consent has been given by the client to proceed with this treatment  -  YesVanguard B-oral (B787365 Exp 13.11.26) POProtech Pi2 (B5264017 Exp 06.01.2027) SC injNails clipped. Really good for nails. Gave licky mat.Plan:Vaccinate again in 12 months time--- 22/12/2025 16:01:31 PM OCS:Vaccinations - Resolved - SMS sent    Vital Signs    MMColour: Pink;       Weight: 25.4;       HeartRate: 112;       BodyScore: 4;       DentalGrade: 2;       RespirationRate: Panting;       CRT: <2;       

Reason: SoreHistory:Patient tried to jump on bed and cried out in pain 2 days agoSince has been alot quieter, not wanting to run aroundNot wanting to go on walksDUDE normalNot favouring a particular legNot obvious hunched back but reluctant to go up stairs or furnitureNo other concerns until nowExamiation:BAR, FAS 3-4 (freezing, slow examination)Vitals- mm pink, CRT <2sec, HR 120, RR pant, Temp- 39.1Chest Sounds- clear, no murmur or arrhythmia detected, lung sounds clearEars- No pathology detected, full otoscope exam not performedEyes- No pathology detectedOral- no pathology detected, grade ¼ dental score- rec. Goat hornsAbdo- soft, no pain or distension detectedPeripheral LNS- nadSkin- clear, no pathology detected. Mass- naMS- no obvious lameness in consult, rsitant along mid spinal region (no obvious pain response), full ROM neck manipulation, nad on HL manipulationNeuro- normal mentation, no signs of ataxia etc. full exam not performedAssessment:Possible back pain (very stressed in consult)Treatment:Start metacam 25kg dose sid for 5 daysStrict rest for 5 daysPlan INI after 5 days or shows neurological signs to contact clinicExplained to owner what to look for--- 27/11/2025 08:34:50 AM TJ4:Examinations - Resolved - recheck booked JL    Vital Signs