C09975271 / invoice 10000

Appointment Notes: Lame - LFL/paw/toe. JPHistory:sore FL 3rd toe. previous injury to the same toe, nail has grown back- deformed. recently has been non weight bearing lame, licking the toe. O has been giving meloxicam.Bought in with a F friend who is a dog trainer. and the FO. Examination:Demeanour/Temperament: BAR anxious has had a trazadoneEyes: NADEars: NADCardiovascular: NADRespiratory: NADAbdominal: NADRectal: NADIntegument: NADLymph nodes:  NADMusculoskeletal: FL 3rd toe swollen painful at nail base. deformed nail growing- see picNeurological: NADUrogenital: NADOral: NADLaboratory:Assessment:Diagnosis:ddx- pododermatitsTreatment:meloxicam - O has at home amoxyclav 10daysecolarreview and consider digit amputation when infection settlesPlan: recheck if no improvement or if there are any further concernsClient Communication:    Vital Signs    Weight: 16.5;       

Appointment Notes: WEB BOOKING - vacc BSfell off ladder  when youngerlost front toe nail laceration to axilla. lame 6mths ago -  became lame s/b AES noted FL paw old fracture. .xrays hips when she was desexed, this was done when she was a little older than 6mths-  mild hip dysplasia. after exercise  becomes lame LHwont jump into back of carslow going up stairs. LH  lame altered gait. History:monthly preventativeExamination:Demeanour/Temperament: BAR nervousEyes: NADEars: NADCardiovascular: NAD strongRespiratory: NADAbdominal: NAD comfortableRectal: NADIntegument: NADLymph nodes:  NADMusculoskeletal: extension LH pain at the end point of extension at @80% of extension . good flexion of the stifle and hock right HL nadNeurological: NADUrogenital: NADOral: NADLaboratory:Diagnosis:fit to vacchip dysplasiaAssessment:advised referral to Lindsay at VSSand if she feels we need to repeat hip xrays we can organiseadvised 4 cyteOk to have repeat metacamadvised bloods if using metacam regularlyTreatment:C5- PC4/& BB s/cshe does not like mouth being looked at. Plan: recheck if no improvement or if there are any further concernsClient Communication:    Vital Signs    Weight: 17;       MMColour: Pink;       RespirationRate: 26;       HeartRate: 110;       Temperature: 38;       BodyScore: 4;       DentalGrade: 0;       CRT: 1-2;