C09971265 / invoice 10000

Appointment Notes: Seems out of sort/quiet at home. Was outside with another cat, possible fightTriage Nurse: JCOTriage Nurse notes: No signs of any wounds although back and front claws are scuffed up. ----------------------------------------------------------------------------------------------------Usual General Practice: AEHL Veterinarian:Day & Time:History: Usually very "in your face" . Went out in garden w O this morning and had a large fight with other cat. After this seemed lethargic. Curled up w tail around face. Not interacting w O like normal, did not want to get out of bed Can be aggressive when stressed. Was aggressive w o when trying to examine this am after fight. O said neighbour has seen a snake on the adjoining property. Medical notes/Known chronic health concerns: NILExamination:BAR - very interactive and walking around room. Vocalising and head buttingAmbulating normally, no lameness noted. Jumped off table w no problems. Some scuffing of nails noted on forefeet. MM p/mEyes: PLR WNL, palpebral reflex WNL, NADEars NADLN NADAbdo palp NADSkin coat NAD - no wounds found, no saliva on coat, no tufts of hair missingHR 160 NADResp NADTemp NT due to demeanourBCS 6/9 - overwtProblem List:Lethargy at home post cat fight - seems to have resolvedOverwtDifferential Diagnoses (in order of most likely):Exhaustion, fear, shock post cat fightPain post cat fightCat fight wound - none found today but cannot rule outClient Communication:Discussed options - offered bloods and work up. O declined and would prefer to monitor for now. Discussed that even a tiny claw wound, not visible today could become infected and abscess, so to monitor very closely - feel all over for swellings and wetness, disrupted fur. If noted, visit reg vet asapDiagnostic Plan:Monitor at home for any swellings, wounds, fur disruption indicative of abscessation/infectionTreatment: NILOngoing Ass & Plan:Monitor very closely at home - feel all over regularly for swellings and wetness, disrupted fur. If noted, visit reg vet asap    Vital Signs    MMColour: Pink;       HeartRate: 180;       CRT: Less than 1;