MVC Template 2

- Vaccinations that are due today and what they are receiving: Rabies vaccine - EDDU: Owner concerned about recent weight loss and increased thirst. - Current medication: Prednisolone 5mg PO SID **Clinical Exam** - MM: Pink, CRT <2 seconds - Oral cavity: Grade 2 dental disease, mild gingivitis. - Eyes: Clear, no discharge, PLR normal. - Ears: Clean, no redness or discharge. - Cardiac: Heart rate 120 bpm, no murmurs, regular rhythm, clear chest sounds. - Respiratory: Respiratory rate 24 bpm, clear breath sounds, no coughing. - Abd palp: No pain, no masses palpated. - BCS: 6/9 - Temperature: 38.9 °C - Musculoskeletal: No lameness, normal gait. - Skin: Normal, no lesions. - Other abnormalities found in clinical exam: Mildly enlarged lymph nodes. - Lymph nodes: Mildly enlarged submandibular lymph nodes. - Vaccinations, Proheart, Bravecto Quantum given today: Rabies vaccine given today. - Other medications, injections, or procedures done today: Prednisolone prescription refilled. - Recommendations made in the consult: Recommend dental cleaning and further investigation of weight loss. - Other procedures apart from vaccination, additional medications given: None. **Plan** - Investigations planned (only include if not done today): Blood work to investigate weight loss. - Treatment planned (only include if not done today): Continue Prednisolone, schedule dental cleaning. - Other actions such as counselling, referrals, follow-up: Schedule follow-up appointment in two weeks.