C09980292 / invoice 10000

Appointment Notes: Apollo (Dog) - Consultation (illness, check-up etc) [Veterinarian : Dr. Justina Han (Preferred Clinician)] - Broken nailWeb BookingClient name: Javier CabralesContact number: 0401807192Email address: jcabralesgalan@gmail.comPatient name: Apollo Original Appointment Type: Consultation (illness, check-up etc)H: broke RTL dew claw on saturday. O removed hanging portion of dew claw himself. Was taken to afterhours in Sydney SUnday - no tx given, told it looked okay. Has been intermittently NWB and slightly more cautious on walks so O wanted to check that he is okay. Otherwise well, no concernsE: vitals normal, RTL D1 has dorsal claw intact at base but rest gone. Quick appears normal, no inflammation or discharge or haemorrhage. Moderate crepitus on flexion/extension of D1 metacarpophalangeal joint with pain response (drooling). No swelling or external lesions. A: torn dew claw appears to be healing adequately. Adjacent D2 MCP joint has moderate crepitus. Ddx fracture, luxation, OA, otherT: meloxicam SID 7d + strict rest 14d. If no improvement or deterioration, sedated x-ray of foot recommended. DIscussed option to do x-ray first + bloods prior to meloxicam - declined for now. P: Recheck in 14d. Strict rest includes no walks, outside on short lead for toileting only. DIscussed advsere effects of meloxicam.    Vital Signs    Weight: 23;