10/7/2021 L 78 UA/Microscopy results from IDEXX Reference
Laboratory Requisition ID: 162685564 Posted Final Test Result Reference Range
BACTERIA NONE SEEN BILIRUBIN 1+
BLOOD NEGATIVE CASTS NONE SEEN CLARITY CLOUDY COLOR Dark Yellow CRYSTALS NONE SEEN EPI CELL RARE (0-1) GLUCOSE NEGATIVE KETONES NEGATIVE MUCUS NONE SEEN PH 6.5
PROTEIN 1+
RBC 0-2 HPF SP GRAVITY 1.056 UROB NORMAL
WBC 0-2 HPF 0 - 5 Ascn: 4504028878
RE: 900 COLLECTION METHOD FREECATCH
10/7/2021 PP 78 1.00 Lab: UA Completion -9100 (1602) 10/6/2021 P 78 1.00 jar of Urine Specimen Container (2653)
Rx #: 221414 Exp. 03/06/22 0 Of 0 Refills Filled by: 81
Refrigerate within 30 minutes of collecting. Return to hospital within 12 hours of collecting.
10/6/2021 P 78 20.00 capsule of Clindamycin 75mg Caps (1033) Rx #: 221400 Exp. 03/06/22 0 Of 0 Refills Filled by: 81 Give 1 tablet orally every 12 hours
10/6/2021 P 78 5.00 caplet of Novox 25mg (2473)
Rx #: 221399 Exp. 03/06/22 0 Of 0 Refills Filled by: 81 Give 1 tablet orally every 24 hours
10/6/2021 D 78 Facial swelling Tentative
10/6/2021 TC 78 PAH SOAP w/ PE box - TENTATIVE - ***EXAM NOTES***
POWDERSVILLE
ANIMAL HOSPITAL
Choco's Medical Note
DR. BOB SANDERS ~ DR. JESS WHITE ~ DR. LEXIE HATTAWAY 864-269-0052 10920 ANDERSON RD PIEDMONT, SC 29673
Client: Marilyn Merritt Patient: " Choco" Canine, Chihuahua, Neutered Male, 11 Yrs. 6 Mos., Chip: 0A122D6163 10/6/2021 Veterinarian: Lexie Hattaway Technician: LS
History (Subjective)
P does not want R side of face touched; paced all night; e/d well, no v/d Vital Signs
10/6/2021 8:11 AM Vital Sign 70
Weight 15.5 pounds BodyScore9 5 - Ideal - 5
Temp 102.5
Pulse 170
Exam (Objective) General Appearance
Normal Abnormal No Exam BAR
Eyes Normal Abnormal No Exam
OU - clear cornea, no discharge
Ears Normal Abnormal No Exam AU - clean Nasal / Oral
Normal Abnormal No Exam
Minor swelling ventral to OD
Dental Normal Abnormal No Exam
Clean incisors, missing some cheek teeth, thick heavy tartar back teeth
Circulatory Normal Abnormal No Exam
No murmurs auscultated Synchronous femoral pulse Respiratory
Normal Abnormal No Exam
Digestive Normal Abnormal No Exam
Soft nonpainful abdomen
Skin Normal Abnormal No Exam Musculo-Skeletal
Normal Abnormal No Exam Bilateral G3 MPL
Neural / Behavioral Normal
Abnormal No Exam shaking
Genito-Urinary Normal Abnormal No Exam m/c
Lymph Nodes Normal Abnormal No Exam
Mucous Membranes Normal
Abnormal No Exam
Assessment
Diagnosis: Patellar Luxation - LEFT - Grade 3, Facial swelling Additional Notes: __
Plan
Sending wellness labs to Idexx. Suspect tooth root abscess - needs dental. Recommend referral to dentist to remove
tooth due to location and not having a dental radiographs.
Rx: Clindamycin 75mg - 1 PO BID #20 Rx: Novox 25mg - 1 PO SID #5
We recommend keeping your pet on heartworm prevention and flea/tick/intestinal parasite control year round.
10/6/2021 V 70 Oct 6, 2021 08:11 AM Staff: 70 --- Weight : 15.50 pounds Body Score (1-9) : 5 - Ideal - 5 Temperature : 102.5
Pulse : 170
10/6/2021 L 78 Miscellaneous results from IDEXX Reference
Laboratory Requisition ID: 162575427 Posted Final Ascn: 4504007831
RE: 9999 NOTE NOTE
A urine sample was not received. The remainder of requested testing has been
performed. Thank you.
10/6/2021 L 78 Chemistry results from IDEXX Reference Laboratory Requisition ID: 162575427 Posted Final
Test Result Reference Range Magnesium 2.2 mg/dL 1.8 - 2.4
Ascn: 4504007831
10/6/2021 L 78 Miscellaneous results from IDEXX Reference
Laboratory Requisition ID: 162575427 Posted Final Ascn: 4504007831
RE: 900 COLLECTION METHOD FREECATCH
10/6/2021 L 78 Hematology results from IDEXX Reference
Laboratory Requisition ID: 162575427 Posted Final Test Result Reference Range
HCT 51.6 % 38.3 - 56.5 HGB 17.8 g/dL 13.4 - 20.7 MCHC 34.5 g/dL 32.6 - 39.2 WBC 20.1 K/uL H 4.9 - 17.6 LYMPHS 14.6 %
MONOS 5.2 % EOS 1.3 % BASO 0.2 %
RBC 7.50 M/uL 5.39 - 8.70 MCV 69 fL 59 - 76 MCH 23.7 pg 21.9 - 26.1 NEUT SEG 78.7 %
PLATELETS 434 K/uL 143 - 448 RETIC CNT 1.0 %
ABS BASO 40 /uL 0 - 100 ABS EOS 261 /uL 70 - 1490 ABS LYMPHS 2935 /uL 1060 - 4950 ABS MONOS 1045 /uL 130 - 1150 ABS NEUTS 15819 /uL H 2940 - 12670 ABS RET 75 K/uL 10 - 110 RETIC-HGB 25.9 pg 24.5 - 31.8 Ascn: 4504007831
AUTOMATED CBC
10/6/2021 L 78 Chemistry results from IDEXX Reference Laboratory Requisition ID: 162575427 Posted Final
Test Result Reference Range ALB 3.0 g/dL 2.7 - 3.9
ALKP 192 U/L H 5 - 160 ALT 32 U/L 18 - 121 AMYL 590 U/L 337 - 1469 AST 27 U/L 16 - 55 BUN/UREA 12 mg/dL 9 - 31 Ca 9.1 mg/dL 8.4 - 11.8 Chloride 112 mmol/L 108 - 119 CHOL 150 mg/dL 131 - 345 CK 194 U/L 10 - 200 CREA 1.0 mg/dL 0.5 - 1.5 DBIL 0.1 mg/dL 0.0 - 0.1 GGT 3 U/L 0 - 13 GLU 104 mg/dL 63 - 114 PHOS 3.5 mg/dL 2.5 - 6.1 Potassium 5.0 mmol/L 4.0 - 5.4 Sodium 147 mmol/L 142 - 152 TBIL 0.1 mg/dL 0.0 - 0.3 TP 6.2 g/dL 5.5 - 7.5 TRIG 101 mg/dL 20 - 150 GLOB 3.2 g/dL 2.4 - 4.0 ANION GAP 17 mmol/L 11 - 26 BICARB 23 mmol/L 13 - 27 IBIL 0.0 mg/dL 0.0 - 0.2 A/G Ratio 0.9 0.7 - 1.5
B/C Ratio 12.0
Na/K Ratio 29 28 - 37 SDMA 8 ug/dL 0 - 14 Ascn: 4504007831
RE: DGGR LIPASE 139 U/L 0 - 250
Please note: the canine and feline reference intervals for lipase have been
updated effective May 26, 2020 to reflect current IDEXX testing.
RE: 276 CALCULATED OSMOLALITY 314 mOsm/kg 302 - 330 RE: 281 HEMOLYSIS INDEX 1+
Index of N, 1+, 2+ exhibits no significant effect on chemistry values.
RE: 282 LIPEMIA INDEX N
Index of N, 1+, 2+ exhibits no significant effect on chemistry values.
SDMA and creatinine are within the reference interval:
impairment of GFR is
unlikely. Recommended next step: evaluate complete urinalysis.
10/6/2021 L 78 Endocrinology results from IDEXX Reference
Laboratory Requisition ID: 162575427 Posted Final Test Result Reference Range
T4 2.5 ug/dL 1.0 - 4.0 Ascn: 4504007831
Dogs with no clinical signs of hypothyroidism and results within the reference
interval are likely euthyroid. For dogs on thyroid supplement, recommended
therapeutic levels are 2.1-5.4 ug/dL.
10/6/2021 L 78 Immunology results from IDEXX Reference
Laboratory Requisition ID: 162575427 Posted Final Test Result Reference Range
HEARTWORM NEGATIVE Ascn: 4504007831
The American Heartworm Society recommends that a confirmatory test be run on
all positive antigen test results prior to therapy, especially when a positive
test result is unexpected. Confirmation of a positive test result is
accomplished when combining the results of the Heartworm
Antigen by ELISA with
results from the Lab 4DX Plus (test code 7244), SNAP Heartworm RT, or SNAP 4Dx
Plus performed on a separate sample.
10/6/2021 B 78 1.00 Exam: Physical Examination (184) by 42 10/6/2021 B 78 1.00 Nail Trim (174) by 42
10/6/2021 B 78 1.00 Lab: K9 WELLNESS Profile (21059999) (2234) by 42 10/6/2021 B 78 5.00 caplet of Novox 25mg (2473) by 42
10/6/2021 B 78 20.00 capsule of Clindamycin 75mg Caps (1033) by 42 10/6/2021 B 78 1.00 jar of Urine Specimen Container (2653) by 42 9/25/2021 P 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117)
Rx #: 220884 Exp. 02/25/22 0 Of 0 Refills Filled by: 26
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
9/25/2021 B 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117) by PAH 8/20/2021 P 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117)
Rx #: 219174 Exp. 01/20/22 0 Of 0 Refills Filled by: 69
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
8/20/2021 B 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117) by PAH 8/16/2021 P 6 1.00 chew of Bravecto 9.9-22# (2772)
Rx #: 218886 Exp. 01/16/22 0 Of 0 Refills Filled by: 69
Give one chew orally every 12 weeks for the control of fleas and ticks.
8/16/2021 B 6 1.00 chew of Bravecto 9.9-22# (2772) by PAH 7/24/2021 P 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117)
Rx #: 217804 Exp. 12/24/21 0 Of 0 Refills Filled by: 6
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
7/24/2021 B 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117) by PAH 7/12/2021 D 1 Weight decreased (finding) Tentative
7/12/2021 D 1 Reverse sneezing Tentative
7/12/2021 V 76 Jul 12, 2021 05:09 PM Staff: 76 --- Weight : 16.00 pounds Temperature : 102.1
7/12/2021 L 1 SNAP Assays results from IDEXX VetLab In-clinic
Laboratory Requisition ID: 18574 Posted Final Test Result Reference Range
HW = Negative
7/12/2021 C 1 PAH Preventative Care: Adult Canine - CLOSED 07/26/2021 - ***K9 YEARLY***
POWDERSVILLE
ANIMAL HOSPITAL
Choco's Canine Preventative Care Report
DR. SANDERS ~ DR. WHITE ~ DR. HATTAWAY 864-269- 0052 10920 ANDERSON RD PIEDMONT, SC 29673
Patient: "Choco" Merritt, Canine, Chihuahua, 11 Yrs. 3 Mos., Neutered Male, Chip: 0A122D6163 7/12/2021 Veterinarian: Robert Sanders Technician: TC
History (Subjective) Yearly
Vital Signs
Vaccines
Rabies (RR) 3yr 1 yr Canine Combo-DA2PP (LR) 3 yr 1yr Bordetella (IN) Lepto (LR) 1 yr Parasite/Viral Screening
No Testing Performed
Fecal Parasite Negative Positive __ Empty Heartworm Negative Positive Physical Exam Findings
General Appearance Normal
Abnormal No Exam
Eyes Normal Abnormal No Exam
Ears Normal Abnormal No Exam Nasal / Oral
Normal Abnormal No Exam
Dental Normal Abnormal No Exam
Dental caries, missing cheek teeth
Circulatory Normal Abnormal No Exam Respiratory
Normal Abnormal No Exam
Reverse sneezing intermittently- discussed nasal pinch maneuver, oral 1/2 tsp honey prn to soothe pharyngeal mucosa
Digestive Normal Abnormal No Exam
Skin Normal Abnormal No Exam
9:58 AM 8:07 AM 5:09 PM
Vital Sign 6 59 76
Weight 17.4 pounds 17.2 pounds 16 pounds
Temp 102.1 102.1
10/2/2020 12/2/2020 7/12/2021
Musculo-Skeletal Normal Abnormal No Exam
healthy weight loss 1.2 #
Neural / Behavioral Normal Abnormal No Exam
Genito-Urinary Normal Abnormal No Exam Lymph Nodes
Normal Abnormal No Exam
Mucous Membranes Normal
Abnormal No Exam
Assessment
Diagnosis: Dental caries (disorder), Tooth/teeth missing, Reverse sneezing, Weight decreased (finding) Additional Notes: Trimmed nails
Plan
__ Stay on monthly heartworm prevention and flea control. - on MOntly HWP
7/12/2021 B 1 YEARLY CANINE WELLNESS (group) (550) by PAH 7/12/2021 B 1 1.00 Exam: Canine Annual Physical (47) by PAH 7/12/2021 B 1 1.00 DA2PP 1 YR (503) by PAH
7/12/2021 B 1 1.00 RV 1 YR (511) by PAH 7/12/2021 B 1 1.00 HWT w/Exam (308) by PAH 7/12/2021 B 1 1.00 FECAL (626) by PAH
7/12/2021 B 1 1.00 K9 Yrly Med Note (3419) by PAH 7/12/2021 B 1 1.00 Nail Trim (174) by PAH
6/26/2021 P 78 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117) Rx #: 216312 Exp. 11/26/21 0 Of 0 Refills Filled by: 69
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
6/26/2021 B 78 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117) by PAH 5/28/2021 P 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117)
Rx #: 214985 Exp. 10/28/21 0 Of 0 Refills Filled by: 42
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
5/28/2021 B 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117) by PAH 4/23/2021 P 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117)
Rx #: 213432 Exp. 09/23/21 0 Of 0 Refills Filled by: 85
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
4/23/2021 B 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117) by PAH 3/25/2021 P 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117)
Rx #: 212110 Exp. 08/25/21 0 Of 0 Refills Filled by: 85
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
3/25/2021 B 6 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117) by PAH 2/24/2021 P 1 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117)
Rx #: 210802 Exp. 07/24/21 0 Of 0 Refills Filled by: 42
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
2/24/2021 B 1 1.00 chew of Heartgard Plus (0-25#) 6= $51 (1117) by PAH 2/8/2021 T PAH Image: med auth
2/8/2021 B 78 1.00 Nail Trim (174) by PAH
1/26/2021 P 1 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117) Rx #: 209631 Exp. 06/26/21 0 Of 0 Refills Filled by: 26
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
1/26/2021 B 1 1.00 chew of Heartgard Plus (0-25#) 6= $51 (1117) by PAH 12/29/2020 P 1 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117)
Rx #: 208482 Exp. 05/29/21 0 Of 0 Refills Filled by: 26
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
12/29/2020 B 1 1.00 chew of Heartgard Plus (0-25#) 6= $51 (1117) by PAH 12/18/2020 L 78 Hematology results from IDEXX VetLab In-clinic
Laboratory Requisition ID: 16966 Posted Final Test Result Reference Range
HCT = 53.6 % 37.3 - 61.7 HGB = 17.0 g/dL 13.1 - 20.5 MCHC = 31.7 g/dL L 32.0 - 37.9 WBC * * 16.38 K/uL 5.05 - 16.76 LYMPHS * * 4.03 K/uL 1.05 - 5.10
%LYMPHS * * 24.6 %
MONOS * * 0.37 K/uL 0.16 - 1.12
%MONOS * * 2.3 %
NEUT * * 11.32 K/uL 2.95 - 11.64
%NEUT * * 69.1 %
EOS * * 0.58 K/uL 0.06 - 1.23
%EOS * * 3.5 %
BASO * * 0.08 K/uL 0.00 - 0.10
%BASO * * 0.5 %
PLT = 394 K/uL 148 - 484 Retics = 139.3 K/uL H 10.0 - 110.0
%Retics = 1.8 %
nRBC * * Suspected
RBC = 7.61 M/uL 5.65 - 8.87 MCV = 70.4 fL 61.6 - 73.5 MCH = 22.3 pg 21.2 - 25.9 RDW = 19.3 % 13.6 - 21.7 MPV = 13.4 fL H 8.7 - 13.2
PDW = 19.0 fL 9.1 - 19.4 PCT = 0.53 % H 0.14 - 0.46 RETIC-HGB = 22.0 pg L 22.3 - 29.6
* Confirm with dot plot and/or blood film review.
Low RETIC-HGB-decreased iron availability (consider inflammation, iron deficiency, PSS, breed-related microcytosis)
Reticulocytosis without anemia-consider occult hemolytic or blood loss disease
12/18/2020 B 78 1.00 Lab: CBC w/ differential (Procyte-rechk) (2394) by 24 12/18/2020 B 78 1.00 Nebulizer Therapy: In Hospital treatment (1713) by 24
12/3/2020 P 1 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117) Rx #: 207492 Exp. 05/03/21 0 Of 0 Refills Filled by: 24
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
12/3/2020 B 1 1.00 chew of Heartgard Plus (0-25#) 6= $51 (1117) by PAH 12/2/2020 T PAH Image: Signed consent
12/2/2020 D 6 Upper respiratory infection (disorder) Tentative 12/2/2020 D 6 Tooth/teeth missing Final
12/2/2020 P 6 1.00 pack of Cerenia 16mg tablets (4pk) (1782) Rx #: 207449 Exp. 05/02/21 0 Of 0 Refills Filled by: 6 Give 1 tablet orally once daily.
12/2/2020 P 6 28.00 tablet of Clavamox 125mg Tabs (1106)
Rx #: 207448 Exp. 05/02/21 0 Of 0 Refills Filled by: 6
Give 1 tablet orally every 12 hours for upper respiratory infection.
12/2/2020 L 6 Hematology results from IDEXX VetLab In-clinic
Laboratory Requisition ID: 16831 Posted Final Test Result Reference Range
HCT = 51.6 % 37.3 - 61.7 HGB = 17.0 g/dL 13.1 - 20.5 MCHC = 32.9 g/dL 32.0 - 37.9 WBC = 21.06 K/uL H 5.05 - 16.76 LYMPHS * * 6.52 K/uL H 1.05 - 5.10
%LYMPHS * * 31.0 %
MONOS * * 0.59 K/uL 0.16 - 1.12
%MONOS * * 2.8 %
NEUT * * 13.67 K/uL H 2.95 - 11.64
%NEUT * * 64.9 %
EOS = 0.27 K/uL 0.06 - 1.23
%EOS = 1.3 %
BASO = 0.01 K/uL 0.00 - 0.10
%BASO = 0.0 %
PLT = 291 K/uL 148 - 484 Retics = 70.5 K/uL 10.0 - 110.0
%Retics = 0.9 %
RBC = 7.50 M/uL 5.65 - 8.87 MCV = 68.8 fL 61.6 - 73.5 MCH = 22.7 pg 21.2 - 25.9 RDW = 19.0 % 13.6 - 21.7 MPV = 13.9 fL H 8.7 - 13.2 PDW = 19.0 fL 9.1 - 19.4 PCT = 0.40 % 0.14 - 0.46 Band * * Suspected
RETIC-HGB = 23.8 pg 22.3 - 29.6
* Confirm with dot plot and/or blood film review.
Immature and/or toxic neutrophils likely present - consider active inflammation
12/2/2020 T ADM Image: Thorax 12/2/2020 T ADM Image: Miscellaneous
12/2/2020 C 6 PAH SOAP w/ PE box - CLOSED 12/16/2020 - ***EXAM NOTES***
POWDERSVILLE
ANIMAL HOSPITAL
Choco's Medical Note
DR. BOB SANDERS ~ DR. JESS WHITE ~ DR. LEXIE HATTAWAY 864-269-0052 10920 ANDERSON RD PIEDMONT, SC 29673 Client: Marilyn Merritt Patient: " Choco" Canine, Chihuahua, Neutered Male, 10 Yrs. 8 Mos., Chip: 0A122D6163
12/2/2020 Veterinarian: Jess White Technician: TB History (Subjective)
Drop off. Coughing up bloody mucous, O oks labs and x-rays
Vital Signs
12/2/2020 8:07 AM Vital Sign 59
Weight 17.2 pounds Temp 102.1 Exam (Objective) General Appearance
Normal
Eyes Normal
Ears Normal
Abnormal No Exam BAR
Abnormal No Exam
Abnormal No Exam Clean canals.
Nasal / Oral Normal Abnormal No Exam
No nasal discharge.
Dental Normal Abnormal No Exam
No tartar on teeth. Missing many.
Circulatory Normal Abnormal No Exam
No murmurs/arrhythmias. HR 180bpm.
Respiratory Normal Abnormal No Exam
Harsh sounds over trachea. Referred upper respiratory noises ausculted bilaterally.
No cough on tracheal palpation.
Eupneic.
Digestive Normal Abnormal No Exam
Skin Normal Abnormal No Exam
Small circular area of erythema in right ventral flank.
Musculo-Skeletal Normal Abnormal No Exam
Grade 3 MLP on LR
Neural / Behavioral Normal
Abnormal No Exam
Genito-Urinary Normal Abnormal No Exam M/c
Lymph Nodes Normal Abnormal No Exam WNL
Mucous Membranes Normal
Abnormal No Exam
Pink. No petechiae.
Nail trim- courtesy
Assessment
Diagnosis: Patellar Luxation - LEFT - Grade 3, Tooth/teeth missing, Upper respiratory infection (disorder) Additional Notes: Rads of thorax - 3 view reviewed by radiologist. Normal thorax.
CBC- elevated wbc count and neutrophilia.
Plan
Cerenia 16mg - 1 po sid q 4 days for help with inflammation and cough.
Clavamox 125mg- 1 po bid q 14 days for infection.
Feed canned food.
Keep isolated from other pets until cough is gone for 7 days in case contagious.
12/2/2020 V 59 Dec 2, 2020 08:07 AM Staff: 59 --- Weight : 17.20 pounds Temperature : 102.1
12/2/2020 B 6 1.00 Exam: Progress/Limited (46) by PAH 12/2/2020 B 6 1.00 X-ray: 2 Views (256) by PAH
12/2/2020 B 6 1.00 Lab: CBC w/ differential (ProCyte) (XG134) by PAH 12/2/2020 B 6 1.00 X-ray: Radiologist review (2224) by PAH
12/2/2020 B 6 28.00 tablet of Clavamox 125mg Tabs (1106) by PAH 12/2/2020 B 6 1.00 pack of Cerenia 16mg tablets (4pk) (1782) by PAH 10/28/2020 P 1 1.00 chew of Heartgard Plus (0-25#) 6= $54 (1117)
Rx #: 205873 Exp. 03/28/21 0 Of 0 Refills Filled by: 26
Give one chewable orally once monthly, year round for prevention of heartworms, hookworms, and roundworms.
10/28/2020 B 1 1.00 chew of Heartgard Plus (0-25#) 6= $51 (1117) by PAH