C09972876 / invoice 10000

Reason: Lesion On Back Burst, Dog Seems Bothered   History:Medications: nilProphylaxis: UTD vaccinations, overdue parasite prevention   Examine:  Demeanour: BART: 39.6      HR: 100       RR: 28     mm: pink, moist     CRT: 1-2s    Pulses: SSFP Weight: 19.1kg       BCS: 5/9Cardiovascular: normal cardiac rhythm, no murmur detectedRespiratory: normal respiratory effort, clear BV sounds bilaterallyGastrointestinal: soft and pliable, no discomfort appreciable Musculoskeletal: able to right, rise and ambulate without lameness Integument: normal skin turgor. Area of flat, moist dermatitis over the right mid-dorsal thorax with a small amount of haemorrhagic/purulent discharge and swelling. Yogi Bear is markedly pruritic in this area. Neuro: appropriate gait and mentation. Menace and palpebrals WNL bilaterally. No ataxia EENT: no ptyalism, strong gag reflex  Diagnostics: nilProcedures:- Area on right thorax clipped and cleaned with Chlorhexidine- A thin layer of Neocort was applied Problem list:1. Moist dermatitis with purulent discharge - Ddx hot spot vs pyoderma vs other 2. Elevated temperature - Ddx secondary to infection vs inflammation vs other  Client communication:Discussed Hx and PEx findings with O. Advised have cleaned area and applied Neocort. Discussed possible Ddx. Recommended outpatient management with antibiotics and steroids. Advised to ensure E collar stays on at all times to reduce self-trauma to the area. Discussed medication administration. Recommended a recheck with PCV at the completion of medication course, advised further antibiotics may be required. Treatment: - Prednisolone 10mg PO SID for 3 days, then EOD for a further 3 doses- Cephalexin 500mg PO BID for 7 days  Plan:- Recheck with PCV at the completion of medications - may require ongoing antibiosis - E collar on at all times    Vital Signs    Weight: 19.1;       

Reason: POC- CastrationAppointment Notes: Special payment terms exist, Overdue remindersHistory:Going well.No issues after surgery.Examine:BARHeart and lungs, sinus rhythm, nma, normal bronchoalveolar soundsSkin: coat soft and shiny, no alopecia or erythema, castration site healedPrescap and popliteal LNs wnlPlan:Vax due at 12 months.Suspicious for MDR1, be careful with medications and dosages in the future    Vital Signs    MMColour: PM ;       HeartRate: 120;       BodyScore: 5/9;       DentalGrade: 0;       RespirationRate: pant;       CRT: 1-2;       

Reason:  Post Op Phonecall - CastrateTried ringing at 1:54pm, left message KV--- 18/11/2025 14:13:00 LCM:Eating: yesDrinking: yesToileting: yes. Both wee & poo.Wound: Is looking good.Behaviour: Back to his normal self.Cone: Was bashing into walls a lot. Owner has tried to buy a replacement cone from the pet store but it does not have an option to feed it through his collar. Was also going to try the inflatable collar but shortly realised that he could still reach his incision. Advised to keep trying with the cone we supplied. Hopefully he will get a bit more used to it as time goes on.Taking medication: Started Meloxicam this morningPost op checked booked: Yes    Vital Signs