C09977079 / invoice 10000

Reason: Pulled Nail OffAppointment Notes: called last night but wanted to come in this morning. Apparently can be reactive so be carefull???History:Running around playing fetch, torn RF lateral nailO using diluted chlorhexidine to clean, bandaged just in caseNo lamenessIs licking a bit Fasted this AM Examination:Lovely excitable dog. Good with people.COAT/SKIN: good EYES/EARS: clearMOUTH/TEETH: permanent dentition, nadHEART: 120LUNGS: clear - is panting ABDOMEN/DIGESTIVE/URINARY: n/pCNS/MUSCULOSKELETAL: normal ambulation. RF 5th toenail partially torn and sticking out laterally. Toe itself non swollen or painful on palpation. No mobility to nail. PERIPHERAL LYMPH NODES: submandibular wnlWEIGHT/DIET: Body Condition Score: 5/9REPRODUCTIVE: nadAssessment:Torn nail- RF 5th toePartially tornDiscussed options- sedate and remove nail now vs ecollar and allow to heal on its own, as it may. O opted for former optionTreatment:Medetomidine 0.75ml + butorphanol 0.3ml IM @9am Removed torn nail + rest of nail where possibleBandaged Atipamezole 0.75ml IM Plan:  - start metacam SID from today- bandage removal/recheck 3d    Vital Signs    Weight: 29.1;       

Reason: C5 / Tick / CoughAppointment Notes: Paws App Details:- NEW CLIENT -Booking Type: ConsultationBooking Notes: Nali presents with a hacking cough in the morning on waking and has for a little while. She has no lethargy or loss of appetite and it resolves during the day. C5 vaccinated by the rescue before we got her, up to date with flea and tick. Nali is reactive on leash.Owner Name: Dr Danay Baker-Andresen Owner Email: dbakeran@gmail.comOwner Mobile Number: 0414667845Owner Address: 15 , Shakespeare Parade , strathpine, QLD, 4500Owner Who is your previous Vet?: NilOwner May we request your pets history?: YesOwner How did you hear about us?: GooglePet Name: NaliPet Species: DogPet Breed: Staffordshire Bull Terrier XPet Weight: 27 kgPet Age: 1y 8m Pet Gender: FemalePet Desexed: NoPet Does your pet have more than two health concerns you'd like to discuss, or is this a complex case?: No - we'll be discussing 1-2 standard concernsWeb BookingClient name: Baker-Andresen Contact number: 0414667845Email address: dbakeran@gmail.comPatient name: NaliHistory:Has cough since 1 month once or twice in morningNow its 5 -6 times generally in morning and sometimes at night time Little bit of white phlegm coming after that, not alwaysIts moe like human  clear their throat EDUD fineO has change d food graduallyNo environmental changesWorming/Heartworm/Flea control status:UTD, NGS Rally active no exercise intolerance noticed No breathing difficulty Behaviour just normalNo meds givenNo bonesNo other petsNo V+ or D+, ocasionally she eats grassVaccination status:Nutrition:Examination:COAT/SKIN:clean, no parsites, no obvious lesionsEYES/EARS: wnlMOUTH/TEETH:g1HEART: rhythmic, no murmursLUNGS: clear, no wheezing, no crackles, TST NEGATIVE, no nasal or ocular dischargesABDOMEN/DIGESTIVE/URINARY: soft, no organomegalyCNS/MUSCULOSKELETAL: nadPERIPHERAL LYMPH NODES: wnlWEIGHT/DIET: Body Condition Score:5.5/9REPRODUCTIVE: nadO has broighut video can see the dog is coughing but dog's face can not be seen in the video to assess the riverse sneezing Assessment:Coughing Differential Diagnosis: Allergic bronchitis vs reverse sneezing vs otherLaboratory:  NilTreatment:75.00 x Rikodeine Syrup Expiry:04/2027 Give 5ml every 8 hourly By mouth. If not get settled need to RECHECK.Plan: Recheck if she is not settled or keep still  with chest radiograph    Vital Signs    Weight: 28.5;       MMColour: pink;       Temperature: 38.7;       HeartRate: 96;       BodyScore: 5.5/9;       DentalGrade: 1;       RespirationRate: panting;       CRT: <2;