C09976919 / invoice 10000

Reason: GHCAppointment Notes: Overdue remindersReason: History: Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:    Vital Signs    Weight: 9.1;       

Reason: Ripped Toe Nail Couple Weeks Ago Now Infected brought in by ERitch.Appointment Notes: Overdue reminders hrHistory: Been a coupel of weeks since he ripped the nauil off - still licking at it adn bothered by it.Not wanting to walk on it, not eating as much as usual.Still drinking - less ofen but bigger volume.No isues with toiletting.No V/D/C/S.Examination: BAR, friendly animal who tolerated all aspects of the examination wellEyes, ears, nose and mouth all normal – no lesions, swelling or discharge observed.Teeth: plaque adn tartar on most teeth.Peripheral (SM and popliteal) LNs palpable but not enlarged.HR: 136, normal rhythm, no murmur appreciated. Pink, moist MMs CRT < 2 secRR: 28,normal RE, no URT sounds appreciated – normal for breed. No abnormal lung sounds appreciated.Comfortable with abdominal palpation – no overt organomegally or other abnormalities appreciated.Skin and coat in good condition.Temp: 39.2Ripped claw of digit 5 on left fore - red, inflammed.RD trikmed teh erst of teh nailsLaboratory: Assessment: Treatment: 1. Stop him licking - e collar2. Antibiortiocs - 7 days clindamycin 150 mg BID3. Anti-inflammatory for 5 daysConsent has been given by the client to proceed with this treatment  -  Yes/No Plan:--- 30/09/2024 10:22:26 AM 4CR:Examinations - Resolved - General follow up text message sent, told to call if any concerns.    Vital Signs    Weight: 9.1;       

Reason: Vomiti Last Night And This MorningAppointment Notes: lathargic and just wanting to sleepHx vomited last night. Had raw chickin for dinner. Very sleepy and depressed today. Feels warmCx Depressed, fever, abdomen tucked up, Mild tachycardia, hydration normal. Lymphnodes nad, pale colourEyes/ears/skin nad. Intestines empty and sensitive.Lx Bloodsmear shows marked left shift neutrophiliaDx Acute gastro-enteritis / could be mild pancreatitis?Rx Inject cerenia, noroclav and metacamAmoxyclav 250mg 1/4 tab bid q4dBland diet. Recommending not to feed raw at all as he too sensitive--- 14/07/2020 14:49:30 PM AM4:Examinations - Resolved - left voicemail. o will call with any concerns. rd    Vital Signs    MMColour: pale pink;       Weight: 6.9;       Temperature: 40.7;       HeartRate: 160;       BodyScore: 2.5;       DentalGrade: 0;       RespirationRate: wnl;       PainScore: 1;