LIFELONG CARE PLAN SMALL BREED
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- Belinda Lawrence
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1 LIFELONG CARE PLAN SMALL BREED Your pet is unique, and our veterinarian s treatment plan will be tailored to their specific needs. As your pet grows, however, there are certain health concerns associated with each life stage. The following pages highlight the primary health issues that your Briarcliff Animal veterinarian will be on the look-out for during each stage of your pet s life. PUPPY JUVENILE ADULT SENIOR (0-4 months) (4-6 months) (1 year) (2-7 years) (8+ years) This Lifelong Care Plan is based on guidelines published from the American Veterinary Medical Association, and the American Animal Hospital Association. Briarcliff Animal Clinic 1850 Johnson Rd NE, Atlanta GA p f
2 PUPPY (0-6 months) 0-4 MONTHS 4-6 MONTHS Heart Murmurs, Hernias, Proper Dental Alignment, Clef Palate, Proper Growth Rate, Skin Conditions, Congenital Eye Conditions, Reproduction Disease (Cryptorchidism), Open Fontanelle, Patella, Luxation(s), Ear Mites, Neurological Diseases Parasites Behavioral problems, Parvo,,,, spirosis. Feeding guidelines (frequency & amount) Diet Requirements (puppy diet) Developmental Bone Disorders, Obesity Healthy Skin and Hair Coat Foreign body ingestion, Tooth Fracture and Dental Disease Pet Insurance Food allergy, Otitis, Atopy, Heart murmurs, Retained deciduous teeth, Cryptorchidism (male), Deciduous teeth Mammary Cancer (female) Pyometra (female) Pregnancy (female) Behavior Problems (both) Testicular Cancer (male) Prostate Conditions (male) Reproductive Concerns with Breeding Congenital Kidney and/or Liver Disease (Liver Shunts), Microvascular Portal Dysplasia, Anemia, Hypoglycemia, Bleeding Disorders Stenotic Nares, Elongated Soft Palate, Hypoplastic Trachea, and Everted Laryngeal Saccules. Legg-Calve-Perthe s Diease, Elbow Luxation Head-to-tail physical examination (at 6, 9, 12, 15 and 18 weeks) Intestinal Parasite Test Deworming (at least twice, 2-4 weeks apart) Heartworm/Flea/Tick prevention (monthly) Discuss Lifestyle, Training Classes and Socialization Discuss Potty Training and Crate Training Discuss Integration into Multi-Pet Household Discuss Grooming DAPP at 6, 9, 12, 15, 18 weeks, at 9 and 12 weeks at 12 and 15 weeks at 12 and 15 weeks 12 weeks or later Discuss appropriate chewing items and home dental care Discuss Trupanion and its benefits Discuss Spay or Neuter Surgery Discuss Pre-op Blood Work +/-Bile Acid Discuss Brachycephalic Upper Airway Syndrome Discuss screening x-rays hips and elbows Heartworms, Intestinal Parasites, Fleas, Ticks, Potential for a lost pet Discuss Identification and Microchip
3 JUVENILE (1-2 years) Excessive Weight Gain Behavioral Problems Dental Disease L-C-P Dz and Elbow Luxation Dermatological Disease (Growths, Allergic Skin and Ear Disease) Luxating Patellas Obesity/Weight Loss Gastrointestinal Disease 1-2 YEARS Heartworm Disease Hookworms Roundworms Whipworms Coccidia Giardia Lungworms Heartworms, Intestinal Parasites, Fleas, Ticks Heartworm Testing Intestinal Parasite Check Parvo spirosis DAPP Lyme (based on lifestyle risk) Congenital Kidney Disease Congenital Liver Disease Bleeding Disorders Wellness Bloodwork- CBC/CHEM/UA (if not done at time of spay/neuter)
4 ADULT (2-7 years) Evaluate Weight Dental/Periodontal Disease Tartar, Calculus, fractured Teeth, Abscessed Teeth, Halitosis Heart Murmurs and Arrhythmias Enlarged, Painful or Abnormally Shaped Organs Liver, Kidneys, Spleen, Lymph Nodes Dermatological Disease (Growths, Allergic Skin and Ear Disease) Orthopedic disease Obesity Gastrointestinal Disease Diet Requirements (Adult) (recommended every 6 months) 2-7 YEARS Parasites, Kidney Disease, Liver Disease, Blood Disease, Diabetes, Adrenal Gland Disease, Urinary Tract Infection Ocular Disease-Dry Eye (KCS), Glaucoma, Corneal Ulcers, Pigmentary Keratitis Parvo spirosis Heartworms Intestinal Parasites Fleas Ticks Blood Tests (CBC/CHEM with Thyroid), Urinalysis, Fecal (recommended once a year) Heartworm Test (once a year) Eye Evaluation, Eye Pressure and Schirmer Tear Testing Parvo (3 year vaccine) DAP (3 year vaccine) Lyme (based on lifestyle risk) Missing Teeth, Fractured Teeth, Oral Masses, Resorptive Lesions, Periodontal Bone Loss, Abscesses, Tonsillitis, Halitosis Dilated Cardiomyopathy, ARVC, Heart Valve Diseases Dental Cleaning, Periodontal Probing, Dental Radiographs (Doctor to evaluate teeth at every exam) Chest X-rays and Echocardiogram (if heart murmur present) ECG (if arrhythmia present)
5 SENIOR (8+ years) 8+ YEARS Evaluate Healthy Weight Dental/Periodontal Disease Calculus, Fractured Teeth, Abscessed Teeth, Halitosis Heart Murmurs and arrhythmias Enlarged, painful, or Abnormally Shaped Organs Liver, Kidneys, Spleen, Lymph Nodes Dermatological Disease (Growths, Allergic Skin and Ear Disease) Arthritis or Other Orthopedic Disease Joint Disease Gastrointestinal Diseases Dietary Requirements (senior w/jt supplement) Parasites, Kidney Disease, Liver Disease, Diabetes, Hypothyroidism, Adrenal Gland Diseases, Urinary Tract Infection Ocular Disease-Dry Eye (KCS), Glaucoma, Corneal Ulcers, Pigmentary Keratitis Parvo, spirosis Heartworms, Intestinal parasites, Fleas, Ticks Missing Teeth, Fractured Teeth, Oral Masses, Periodontal Bone Loss, Abscesses, Tonsilitis Dilated Cardiomyopathy, ARVC, Heart Valve Diseases, Heart Based Tumors Tumors, Pancreatic Disease, Inflammatory Bowel Disease, Liver Disease, Bladder Stones Degenerative Joint Disease Intervertebral Disk disease Cognitive Dysfunction Head-to-tail physical examination (recommended every 6 months) Blood Tests (CBC/Super CHEM/with Thyroid), Urinalysis, Fecal Test (At least once a year, more often based on risk) Heartworm Test (needed every 12 months) Eye Evaluation, Eye Pressure and Schirmer Tear Testing DAP (3 year vaccine) Parvo (3 year vaccine) Lyme- (based on lifestyle risk) Dental Cleaning, Periodontal Probing, Dental Radiographs (Doctor to evaluate teeth at every exam) Chest X-rays and Echocardiogram (if heart murmur present) ECG (if arrhythmia present) Imaging (radiographs and/or ultrasound) If coughing, weight loss, chronic vomiting or diarrhea, inappropriate urination/defecation Pain and Behavior Assessment Checklist Interaction with others Sleep and rest Appetite Posture Appropriate urination/defecation Play Vocalization Mobility Imaging indicated to assess painful areas
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PATIENT INFORMATION Last Name: First Name: Middle: Date of Birth: EMERGENCY CONTACT INFORMATION PRIMARY INSURANCE INFORMATION
PATIENT INFORMATION Last Name: First Name: Middle: Date of Birth: Gender: SSN: Race: Marital Status: Address Line: City: State: Zip Code: Home Phone: Work Phone: Email Address: Cell Phone: Primary Care
Patient Name Date of Birth Age. Other phone ( ) . Other
GASTROINTESTINAL & MINIMALLY INVASIVE SURGERY HEALTH HISTORY QUESTIONNAIRE Date Patient Name _ Date of Birth Age Daytime phone ( ) Other phone ( ) Email How did you hear about us? My doctor Yellow pages
New Patient Questionnaire
New Patient Questionnaire Name: Primary Care Physician: Date of Birth: / / Home Phone: ( ) Cell Phone: ( ) Why are you seeing a cardiologist? (please answer in detail) Have you ever seen a cardiologist
MEDICAL HISTORY. 25-Jan-2017 to 27-Jan VCA Central Animal Hospital 281 North Central Avenue, Upland, CA (909)
VCA Central Animal Hospital 281 North Central Avenue, Upland, CA 91786 (909) 981-2855 MEDICAL HISTORY to 27-Jan-2017 Client Timothy C Saunders (42916) C: Timothy C: (626) 222-3373 Patient Kodiak Tokota
Johanna M. Hoeller, DC PS
ENTRANCE FORM Birth date: Height: Weight: Emergency Contact: Emergency Contact Phone: ( ) Spouse/Partner or Parent s name: Children s names: Occupation (Your): Employer: Address: City/State/Zip: Phone:
RADPrimer Curriculum Breast Topics Covered Basic Intermediate 225
Breast Anatomy & Normal Variants 11 Breast Imaging Modalities 13 BI RADS Lexicon 3 Mammography: Masses 9 Mammography: Calcifications 17 Mammography: Additional Findings 8 Ultrasound Features 10 Ultrasound
Family Naturopathic Clinic
Mark Orbay, B.Sc., N.D. Doctor of Naturopathic Medicine 265 Carling Avenue, Suite 610 Tel: (613) 230-6100 Fax: (613) 230-0070 Name: Phone (Home) Address: (Office) Date of Birth: / / Age: (Month) (Day)
DEPARTMENT OF MEDICINE Outpatient Intake Form
NAME: Last First Middle Initial Date of Birth: ADDRESS: HOME PHONE: WORK PHONE: Did someone refer you here? Yes No If yes, please give name: Main reason for your visit today: MEDICAL HISTORY: (Please check