C10031460 / invoice 10000

Reason: Cytopoint And HW InjectionAppointment Notes: Special payment terms exist  ------- Sms reply: YesHistory: EDUD normally Going well at home No issues with cytopoint but starting to shake headExamination: - Behaviour: Friendly and sweet.- Vitals: Heart rate 110 bpm, respiratory rate panting. Mucous membranes pink and moist, capillary refill time <2 seconds.- Physical examination findings:- Eyes: Bright and clear, no ocular discharge noted on medial or lateral canthus.- Ears: Ear pinna clear of excoriations or discharge. No redness or irritation or wax noted on otoscopic examination - Dental: Grade 1-2 dental disease.- Cardiovascular: No murmur or arrhythmia auscultated. Pulses synchronous and of good quality.- Respiratory: Lungs clear on auscultation. No wheezing or coughing noted.- Gastrointestinal: Abdomen soft and non-painful on deep palpation. No distension or organomegaly noted.- Integument: Mild erythema between paw pads. Slight hyperkeratinisation of paw pads. Coat in good condition.- Nails: Appropriate length.- Musculoskeletal: Noted to have poor hip conformation. Shifts weight slightly on hips.Laboratory: NAAssessment: Treatment: SR 12 injection SC Cytopoint 40mg (B) 806898 exp 09/26Cytopoint 20mg (B) 815780 exp 12/26Adviced owner can trim hyperkaratinsation with nail trimmer or file if concerned. Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:Next cytopoint in 1 month Consent has been given by the client to proceed with this treatment  -  Yes/No    Vital Signs    Weight: 65;       HeartRate: 130;       DentalGrade: 1;       RespirationRate: 20;       CRT: <2;       MMColour: pink;       BodyScore: 4.5/9;