C09970378 / invoice 10000

Appointment Notes: limping GWHISTORY:Owner reports that Hampton was acutely sore of LHL paw since this morning, and has been licking +++ and hesitant to put foot down. No limping when he does start walking on it though. Otherwise bright, EDDU well no VDCS. On apoquel and trazodone Flea/tick/worming: UTD PHYSICAL EXAM: Demeanour: BARVitals: WNL CVS: regular rhythm, no murmur, SSFP.RESP: normal respiratory effort, clear bronchovesicular sounds; no crackles or wheezes.ORAL: C1G1 OCULAR: nuclear sclerosis ABDO: soft and comfortable to palpate.LNs: peripheral LN WNL.INTEG: coat clean, no visible ectoparasites. LHL paw marked erythema interdigitally and around base of foot, no FBs or wounds observed GAIT: ambulating well, no lameness observed.UROGEN: NADASSESSMENT: Acute itch and erythema one foot - very likely insect bite reaction, other ddx FB, trauma, etc TREATMENT:Dexason and niramine injections E-Collar PLAN: RV INI or getting worse     Vital Signs    Weight: 8.7;       MMColour: Pink;       RespirationRate: 24;       HeartRate: 100;       Temperature: 38.2;       BodyScore: 5;       CRT: 1-2;