C09981890 / invoice 10000

Reason: Stick Between ToesTIME: 1815VET: Dr Megan MartinsHISTORY:Owners found stick in paw RH and NWB lame, found this afternoon. Otherwise well, NOC.Current meds: nilProphylaxis:Pre-existing conditions: nilAccess to toxins eg. Rodenticide:Gave 0.9mL methadone SC at start of consult. Very anxious dog, minimal exam possibleTRIAGE:HR:RR:Temp:Mm: pinkCrt:Mentation: BAR, anxiousPain Scale (0-4): 4Hydration status (%):EXAMINATION:Body Condition Score: 5/9Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gaitMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4):  - Abdominal: no detectable pain on abdominal palpation, normal gut sounds- Rectal: no detectable abnormalities, faeces:  Urinary: NSFReproductive (incl ext genitalia): NSFIntegument/Ears: NSFLymph Nodes: peripheral lymph nodes normalEyes: NSFPROBLEM LIST:DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:DIAGNOSTIC/MANAGEMENT PLAN:DIAGNOSTICS:ASSESSMENT:TREATMENT:PLAN:CLIENT COMMUNICATION:    Vital Signs    Weight: 1;