C09976798 / invoice 10000

Reason: Bandage Change Appointment Notes: Overdue reminders  ------- Sms reply: YReason: Wound ReCheck BandageHistory: Usually seen at Port PhilipBought some bitter spray to prevent licking. Walked 10 min bathroom walksFinished Antibiotic and painkiller courseGot some zoomies back yesterday afternoon, getting more active. Finished his course of broad into specific and finished his courses. Been at another house to take care of himGets fed human food and treats at other caretaker. EDDU Ok. Took a little longer to defacate, smaller quantity than normal but normal consistency.No VCSDMedications:Gets eye drops occassionallyFinished course of pain relief and antibioticsExamination: QARCVS: HR 150, no heart murmur appreciated. No arrythmia appreciatedResp: Lung sounds clear bilaterallyEyes, ears, nose: ClearMouth: R maxilla canine 204 tip fractureDental: Mild tartare observed. No gingivitis or inflammation observed. Left maxillary canine (204) has a fracture. LNs: Not easily palpable, likely normal size, no lymphadenopathy appreciated. Abdomen: Musculoskeletal: Wound assessment of LFL: Wound between digits 2-3 and 3-4 has healed and scabbed over. Laboratory: NILAssessment: Bandage was removed in consult. Options: 1. Rebandage the wound2. Let the scab heal openly, spray bitter spray to prevent Rocko from licking, but bring him in for bandage change if lickingO opts for Option 2. Antibiotics will also be discontinued as wound is healing well and Rocko is otherwise clinically well. Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Bdanage was removed and wound was rechecked. Plan:Bandage will be removed and wound will be left to heal as an open wound.Antibiotics will be discontinued. Recheck is unnecessary unless Rocko is licking it incessantly.History-Update:    Vital Signs    HeartRate: 150;