C09980929 / invoice 10000

History:** WALK - IN **- o dropped from approx waist height- biscuit yelped and has been very sore on RHL, attempted to bite o- BIOP approx. 2 weeks ago, had a vacc last week, otherwise wellExam:Mentation, BAR, distressed, yelpingEyes - clear, cornea all appears WNL, no tear stainingEars - clearNose - clear, no dischargeOral - pale, moist, 1-2s (shock)Thyroid palpation - all palpates normalLymph nodes - all WNLCardiac: regular rate and rhythm, no murmurRespiratory: clear BV sounds bilaterallyAbdo - soft and pliableGenitourinary clearMSK - Gr 5/5 RHL lameness, severe pain with gentle palpation, PEx npNeuro - clearIntegument - no masses palpableTemp ntBCS 5/9Tx:Methadone (10mg/mL) 0.07mL (0.3mg/kg) IM @ ~ 1745Rads:complete mid-shaft oblique fracture of RIGHT tibiaAssessment: fractured tibiaPlan:recc referral to specialist surgeon for fracture repair (SP able to accommodate transfer)https://keystone.asteris.com.au/#/partner/viewer/BERWICKVHVIC/2963245c-0000-1405-1736-ffffff260303    Vital Signs    Weight: 2.6;