Clinical Intake - 14/06/2026 23:09
Case: New Clinical Case - 14/06/2026 22:50
Patient: Eddy
| Document Type | AI Consult Transcript |
|---|---|
| Source | Browser microphone dictation / Manual entry |
| Document Date | 14/06/2026 |
| Uploaded | 14/06/2026 23:09 |
Extracted / Pasted Text
Ok so Eddie is on inner wolf 500 grams daily omega-3 oil.
Five mils daily and he also gets seaweed one teaspoon daily.
Subjective:
Main Reason: wellness check
Prior medical history: Teaky is almost 10 years old and She has always been under 4 kg.
Signalment: Cat, Ragdoll female desexed , , 10 years old
Current Preventatives: Up to date
Current Diet: Teaky is fed biscuits, dental treats, herbal treats, cat food, and vegetables. She recently switched to a new brand of cat food which she likes.
Energy Exam:
Soul: Heart
Soul Level: Not Examined
Mind: I am lovable HT
Energy System: Nil
I AM - Cancer Signal: Nil
Metabolic Cancer pathways: Not examined
TCM Cancer patterns: Not examined
Panel: Not examined
Conciousness: Not examined
Consciousness number: Not examined
Food Meat proteins: Not examined
Fish proteins: Not examined
Lectins: Not examined
Cereals: Not examined
Rancid Vegetable oil: Not examined
Inhalant allergens: Not examined
Contact allergens: Not examined
Detox Pathways: Not examined
Toxins: Not examined
Inflammation Pathways : Not examined
Coagulation: Not examined
Macro Elements: Not examined
Micro Elements: Not examined
Vitamins: Not examined
Vomit receptors: Not examined
Cardiac markers: Not examined
Brachycephalic markers: Not examined
Pancreatitis markers: Not examined
Canine viruses: Not examined
Feline Viruses : Not examined
Physical Exam:
General Appearance: Bright, alert and responsive. (BAR)
Body Condition: Ideal body condition score (5/9)
Eyes: NSF, corneas appear clear and free of discharge, pupils normal size, globes symmetrical OU
Ears: NSF, no exudate observed, no redness present AU.
Oral Cavity: NSF, no tartar or gingivitis present, pink and moist mucous membranes, CRT <2 sec.
Nasal Cavity: NSF, free of discharge, no obvious abnormalities observed.
Integument: NSF, skin appears normal; hair coat in good condition, no ectoparasites noted.
Lymphatics: NSF, no peripheral lymphadenopathy.
Cardiovascular: NSF, no murmurs or arrhythmias auscultated, pulses strong and synchronous.
Respiratory: NSF, eupneic, lungs auscultate clear bilaterally; trachea clear.
Gastrointestinal: NSF, abdomen palpates normally; no masses or organomegaly noted.
Rectal: NSF, did not perform rectal exam.
Urogenital: NSF, external genitalia and bladder palpates appears normal.
Musculoskeletal: NSF, normal ambulation x4, normal muscle mass.
Neurologic: NSF, normal mentation, full neurologic exam not performed.
TCVM Tongue diagnosis: Not examined
Three Jiao : Not examined
TCVM Pulse diagnosis: Not examined
Fractal Pulse: Not examined
Vitals:
Weight: 3.3
Temperature: 38.3
Heart Rate: 150
Respiratory Rate: 60.0
Blood Pressure: Not measured
CRT: 1-2 sec
MM: Pink
Hydration status: Normal Hydration
Additional Notes: Respiratory rate is elevated due to stress.
Objective:
Assessment: Physically and energetically well
Plan:
Recommendations: Continue current diet and care as Teaky is doing well.
Owner Discussion: Discussed Teaky's current condition and diet. Owner reports Teaky is eating, drinking, and using the toilet normally. No concerns were raised. Advised to continue current care as Teaky is doing well.
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