C09970385 / invoice 10000

Appointment Notes: ONLINE BOOKING - Rani (Dog) - Health Consultation [Veterinarian : On Duty Veterinarian 1(No Preference)] - Swollen foot - Web BookingClient name: Matthew HiltonContact number: 0423106247Email address: matthew.hilton@gmail.comPatient name: Rani Original Appointment Type: Health ConsultationHistory:Wound on LFL dorsal carpusPotential cyst at previous visitOx noticed swelling around the wrist today, and limpingIs booked in tomorrow for SDFTEDDU normally otherwiseExam:Pitting oedema on the L carpus Red, raided, mass - soft on dorsal aspect of carpus, some pain on palpation  - expressed with 22g needle, and cleaned with chlorhexLaboratory:NADMild low TT4 - normal breed changesTreatment:Amoxyclav 20mg/kg, 500mg PO BIDOnsior 40mg PO SID for 5 daysPlan:Reschedule SDFT surgery tomorrow at other vet, as there may be an infeciton causing swelling vs traumaRecheck in 1-2 weeks, if ok then can go ahead with surgeryIce packing/water bath to reduce swelling around the L carpus for the next 2-3 daysKeep clean with betadine INI xrays, to look for penetrating wound/grass seed vs referral for CT if worsening    Vital Signs    Weight: 24.5;       MMColour: Pink;       RespirationRate: 32;       HeartRate: 100;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Abnormal (LFL, swollen carpus, red cyst/mass 10mm);       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       Demeanour: BAR;       BodyScore: 6;       CRT: 1-2;       

Appointment Notes: bumps on front feet#### Basic Summary:- 11-year-old Greyhound presented for a carpal lesion and a recurring paw corn.- Examination revealed a 3x3 mm mobile, non-painful subcutaneous mass on the carpus.- Differentials for the mass include a sebaceous cyst or benign hair follicle tumour.- A significant, recurring corn was identified on a front paw.- Owner declined cytology of the mass, opting to monitor.### Subjective:- **Clinical signs/progression:** Holds paw up due to corns. Licks paws. Gets tired quickly on walks.- **Significant past history:** Recurring digital corns; a large corn was previously removed but has regrown.- **Current medications:** Moisturiser - applied to toes. Wears dog shoes for corns.- **Appetite & diet:** Picky eater. Fed kibble in the morning and Prime 100 at night.### Objective:- **Demeanour:** BAR#### **Examination Findings:**- **Integumentary:**  - A 3x3 mm, mobile, non-infiltrative, non-painful subcutaneous mass is present over the carpus. No inflammation or bleeding noted.  - A considerable corn is present on a front paw; it is firmly attached centrally.- **Oral:** Mild dental wear and tear noted.#### **Problem List:**- Carpal subcutaneous mass (suspected sebaceous cyst or benign tumour)- Recurrent digital corn- Exercise intolerance### Assessment:An 11-year-old Greyhound with two primary issues: a small, mobile subcutaneous mass on the carpus with features suggestive of a benign lesion (sebaceous cyst or follicular tumour), and a recurring, significant digital corn causing discomfort. Owner has elected to monitor the carpal mass rather than pursue immediate diagnostics.### Plan:**Treatment Plan:**- Monitor carpal mass for any changes in size, shape, or for signs of inflammation or pain.- Advised to add an extra layer of foam padding to dog shoes to improve comfort.#### **Client Communications:**- Discussed the likely benign nature of the carpal mass. Advised owner to monitor and photograph the lesion to track changes.- Recommended cytology or surgical removal if the mass grows rapidly, changes appearance, or begins to bother the patient.- Follow-up assessment of the mass recommended at the next 6-month vaccination appointment.### Additional:- Prognosis for the carpal mass is considered good, pending monitoring.- Owner declined cytology of the mass at this visit.    Vital Signs    Weight: 24.7;       

Appointment Notes: ONLINE BOOKING - Rani (Dog) - Health Consultation [Veterinarian : Dr Stacey Shewell(No Preference)] - Sore foot - Web BookingClient name: Matthew HiltonContact number: 0423106247Email address: matthew.hilton@gmail.comPatient name: Rani Original Appointment Type: Health ConsultationBasic Summary:- Presenting Complaint: Left forelimb lameness, present only when barefoot.- History: Recurrent corn on the left foot; a previous corn was removed last week.- Primary Finding: New, painful corn identified on the central pad of the left forelimb foot.- Further Findings: Suspected developing corns on the right forepaw and both hindlimb paws.-Plan: Prescribed Meloxicam for pain relief and recommended conservative management with padded boots and environmental modification.Subjective:- Clinical signs/progression: Lameness of the left foot, which began after a corn was removed last week. Lameness resolves when wearing shoes. Dog is otherwise active and happy.- Significant past history: History of a large corn on the left foot. Owner's previous dog had recurrent corns and an unsuccessful tendonectomy.- Current medications: Nil.- Appetite & diet: Good appetite, not a picky eater.Objective:- Demeanour: BARGeneral exam:  - Weight: 24 kg.  - BCS: Lean but within a healthy range.  - MCS: Well-muscled, no significant atrophy noted.  - Left Forepaw: Sensitive to palpation. A new corn is present on the central core pad with associated keratin changes. Evidence of a previous corn site is visible.  - Right Forepaw: Displays a weight distribution pattern suggestive of developing corns.Problem List:- Left forelimb lameness.- Recurrent keratoma (corn) on left central metacarpal pad.- Suspected developing keratomas on the right forepaw, and both hindlimb paws.Assessment:A 10-year-old female Greyhound presents with left forelimb lameness secondary to a new, painful corn on the central pad. The lameness resolves with protective footwear. There is evidence of previous corns and a high suspicion of new corns developing on the contralateral paw. The dog is otherwise in good health.Treatment Plan:-Meloxicam 30 mL bottle: Administer 24 kg dose orally once every 24 hours with a full meal, as needed for pain. Advised intermittent use (e.g., 2-3 consecutive days, followed by a break).- Conservative management:  - Consistent use of well-padded boots, especially on hard surfaces.  - Apply paw softening ointments (e.g., Vaseline) to hydrate paw pads.  - Supplement diet with Omega-3 fatty acids.  - Modify exercise to prioritise soft surfaces like grass.Client Communications:Discussed the chronic nature of corns in Greyhounds and the focus on management for quality of life. Advised that paw pad healing may take 1-2 months. Explained the rationale for prescribing Meloxicam and potential side effects. Surgical options like tendonectomy were discussed but not recommended due to the dog's age and the likelihood of all four paws being affected.Additional:- Prognosis is fair for comfort with diligent long-term management. Surgical tendonectomy was not desired by owner, further diagnostics (radiographs) also declined at this stage.    Vital Signs    Weight: 24.5;       MMColour: Pink;       RespirationRate: 32;       HeartRate: 88;       HeadEyes: Normal;       Nose: Normal;       Skin: Abnormal (all 4 paws show evidence of paw pad corn development, LFL most affected/limping);       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       Demeanour: QAR;       Gingivitis: 0;       Calculus: 0;       Observation: Normal;       Temperature: 37.8;       BodyScore: 4;       DentalGrade: 0;       PainScore: 1 (LFL mild limp, mild pain when touching central paw pad corn);       CRT: 1-2;