C09980130 / invoice 10000

Reason: Appt Red Sore PawHistory: Acutely lame on walk a week or 2 ago right fore Chewing at foot when resting since 'No lamenss since initial episode but does lick paw incessantly Claudine noticed very red underneath Noraml EDUF otherwise Examination: BAR clean ears externally, minimal redness etc Right fore marked ventral interdigital erythema with focal 8mm diameter uclerated skin dorsal to caudal margin of metacarpal padWeeping focal ulcerated lesion here No dorsal interdigital inflammation Minimal erythema other paws ventrally or dorsallyMinimal erythema skin otherwise Minimal calculus or gingivitis NAD chest, no murmur or arrhythmia ABdo unremarkable Patellas stable, no crepitus or effusion stifles Good ROM hips and stifles without discomfort Assessment: Suspected insect sting/bite with secondary self trauma vs trauma lesion/burn etc Treatment: Tapered Pred 5mg SID 5d EOD 10d Neocort BID 7dO thinks has both medications at homeIf can't find previously dispensed medications ok to dispense Neocrt and Prednil 5mg x 20INI consider Cytopoint injection    Vital Signs    Weight: 7.7;