C09972616 / invoice 10000

HISTORY:
Presented for: suspected bee sting
Paw and face swollen 
Was drooling a bit but stopped now 
No v+ d+ seen
Seemed a bit flat before but excited in clinic
Not scratching at it 
Meds: pred 20mg last dose today (for dermatitis), cytopoint 

EXAM:
BAR, friendly boy very treated motivated, is DOG REACTIVE 
HR 120bpm, no m/a
RR panting, lung sounds clear
Temp 38.8
Abdomen soft, comfy
MM pink, crt<2sec
Integ: mildly swollen muzzle, mild erythema 

ASSESSMENT:
Suspected hypersensitivity reaction

PLAN:
Niramine 0.5mg/kg SC 

COMMUNICATION:
Watch for signs of anaphylaxis 

HISTORY
presented for potentially swallowed cotton ball ~21:30. Acting strange since - coughing, eating grass, trying to vomit.
- O got home around 9pm
- possibly ingesting stuffing of soft toy then went out to eat grass
- a few times tried to vomit - retching but then nothing came out - 9-915pm 
- offered some yoghurt after then the retching stopped 
- ate his normal dinner (around 730pm) - no issue 
- passing quite a lot of gas (abnormal for him) 

was in the backyard for 10 hours today
no diarrhoea, no vomiting
no access to known toxins
1 week ago backyard sprayed for bull ants --> has rained in the past few days 

no long term meds 
known to have occasionally seasonal allergies
RV = Greensborough vet

EXAM
BAR, nice dog loves treats
HR 108 no murmur or arrhythia with synchrous pulses 
RR panting lung sound clear bilaterally 
Temp 38.9 
Abdomen soft and comfortable
MM Pink and moist CRT <2secs
rectal - normal stools

ASSESSMENT
not significant finding on PE 

PLAN
monitor at home for further GI signs 
no medication indicated 

COMMUNICATION
plan as above

SUBJECTIVE: 
presented for ear wound check post-op
Appointment for IA/NBH, but IA in surgery, NBH not available - advised suture removal 

OBJECTIVE:
Very BAR
Ear wounds better than last week

ASSESSMENT:
Sutures x 3 in situ, but not apposing skin - 

TREATMENT PLAN:
Sutures removed w/ advice from NBH

COMMUNICATION:
as above