C09977061 / invoice 10000

Reason: Poss A/g Abcess TnHISTORY:Rocco presented with a lesion near the anus that the owner initially thought was a bite. Owner reported excessive licking of the area for the past couple of days, panting behaviour, and some scooting yesterday (twice, then stopped). Owner noted hair loss and scratching around the affected area. Symptoms began approximately Saturday night/Sunday.EXAMINATION:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): 1- Abdominal: no detectable pain on abdominal palpation- Rectal: not performed. Left anal gland abscess- rupturedUrinary: NSFReproductive: NSFIntegument/Ears: NSFLymph Nodes: NSFEyes: NSFDemeanour/Behaviour: nervous during examinationPROBLEM LIST:Anal gland abscess with ruptureDIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Left Anal gland abscessDIAGNOSTICS:NoneASSESSMENT:Rocco presented with a ruptured anal gland abscess. Physical examination revealed the characteristic lesion with associated pussy discharge. The condition likely developed due to inadequate anal gland expression, possibly related to soft stools a few days ago.TREATMENT:Flushed with saline, expressed as mush as he allowed.Amoxyclav 250mg x 5 tablets prescribed: half tablet twice daily for five daysMetacam liquid formulation: 7kg dose once daily with food for 4 daysElizabethan collar fitted to prevent further licking and self-traumaPLAN:Continue medications as prescribed for full courseRecheck in a weekMaintain Elizabethan collar until healing completeDietary modification to increase fibre content to promote firmer stoolsRegular anal gland checks every 2-3 months to prevent recurrenceMonitor healing progress--- 03/03/2026 09:30:18 AM NIT:Examinations - Resolved - in today for rcheck    Vital Signs    Weight: 7.5;       HeartRate: 124;       RespirationRate: 28;       CRT: 1 sec;       MMColour: pink;