Clinical Intake - 14/06/2026 23:09

Case: New Clinical Case - 14/06/2026 22:50
Patient: Eddy

Document TypeAI Consult Transcript
SourceBrowser microphone dictation / Manual entry
Document Date14/06/2026
Uploaded14/06/2026 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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