C10030912 / invoice 10000

Appointment Notes: Luna (Dog) - kell.kaos@gmail.com +61432350022 Kelly Hunt Consultation - Health Check - Vaccines, Annual check, teeth check -  Web BookingClient name: Kelly HuntContact number: 61432350022Email address: kell.kaos@gmail.comPatient name: LunaCall partner Gen on contact ton the fileO mentioned not eating when at O's parents house, thinks off not being around O's.Has noticed occasional vomiting, once a week - fortnight, last couple months. Mostly will have a morning vomit, still bright throughout the day and eats dinner fine.Has cut down on offering human foods, giving more of her own food instead.History: Examination: Assessment: Plan: Infectious Bronchitis vacc SC back of shoulders/neckVerified: NoReason: Annual health checkHistory:Currently on long term enalapril medicationIntermittent V+ of breakfast once weekly to fortnightly for past few months, otherwise eating dinner normallyRecent stress-related decreased appetite when staying at relatives' houseWeight loss program in progress - reduced from 29.5kg to 27.9kg over past yearReduced human food treatsSwallows food without chewingExamination:BAR in consultMMs: pink & moist, CRT < 2secDental: On long term enalaprilEars: No odour or significant dischargeCardio: no murmur or arrythmiaResp: Lung sounds clear, normal respiratory effortBCS: overweight, weight loss in progressAbdo: comfortable on palpation, no palpable massesIntegument: NADLNs: normalLaboratory:Annual blood screen recommended due to long term enalapril use - biochemistry profile and complete blood countAssessment:All OK on PELong term enalapril patient requiring monitoringIntermittent V+ episodesPlan:C3 vacc SC back of shoulders/neckProheart SR12 SR-12 SCBiochemistry profileComplete blood countConversation with owner:Annual blood screening recommended due to long term medication use to monitor for potential liver and red blood cell effectsContinue weight management programMonitor V+ episodes    Vital Signs    Weight: 27.9;       MMColour: pink;       HeartRate: 120;       BodyScore: 7/9;       DentalGrade: 2/4;       RespirationRate: pant;       CRT: 2;