C10031665 / invoice 10000

Reason: ALM Bloods (MT)Appointment Notes: more gabapentin pls -BDHistory: Ower has no concerns eating and drinking as normal  and hs been puting some weight on.Put on 500g in 2 monthsNo other concerns has ben acting normally no vomiting no diarrhea no diarrhea no coughing no sneezing. Owner mentioned that she had a few days problems giving the medication and possibly giving half of the dose for few days.Diet variety of supermarket foodDue for end and ecto parasite prevention. Owner aware to put it back on preventionExamine: Heart no murmur or arrhythmia noted, pulse strong and synchronous.Lungs appears to be normal sound no wheezing or crackling noted. LN appears to be normal size.Abdomen appear to be normal no discomfort or abnormalities noted. Eyes normal sclera and conjunctiva. No discharge noted. Normal reflex.Ears: Appears to be clean and no discharge noted. Nose No discharge no abnormalities noted. Mouth normal, mild gingivitis and tartar noted. However possible resorptive lesion on the 204. Estimated $1,200 to $1,500Genitalia appears to be normal no discharge noted.Mobility appears to be normal for the age. Skin and coat appears to be normal, MSK/Neuro WNLLaboratory: In house T4 - 54.1 (13 - 52)Plan:  Continue the same for now as previously suggested. Recheck Bloods in 2 months Owner agreed. Only T4 this time.    Vital Signs    Weight: 5.87;       MMColour: pink;       HeartRate: 140;       BodyScore: 6;       DentalGrade: 2;       RespirationRate: snifing;       PainScore: 1;       CRT: 2sec;