C09983201 / invoice 10000

three days ago.  hurt leg.Pain on outside of leg ( foot).limp stopped.no priorno other injuriesVerified: NOHISTORYPrimary reason consult: Right front leg lameness and swelling of outermost digitConcerns: Lameness has stopped but leg still sore, swelling of lateral digit on right front legHistorical conditions: Vacc due: Worming/ flea/tick: Current medications: NoMentation at home: BAREDDU: eating & drinking normal urination and defection normal No vomitingDiet: Skin: Lumps: Mobility: Lameness has resolved but still experiencing soreness in right front legRisk Factors: PHYSICAL EXAMCondition: BCS= /9, healthy bodyweightMentation: BARMobility: No pain on palpation of hind legs, left front leg normal, no pain in shoulders or elbow of right front legHR/PR: 132 clear on auscultation bilaterally, regular and strong pulseLungs/RR: lungs clear on auscultation bilaterally, normal breathing sounds and effortTemp: deg C MM: pink, moist, CRT<2secTeeth: appropriate bite, clean, no gingivitisEyes: normal appearance of eye and eyelids, normal pupillary responsesEars: normal appearance of pinna and external ear canal, no malodourSkin/Coat: healthy skin and coat without redness, lesions, excessive hair loss or lumpsLnn: no enlargement palpable externallyAbdom palp: Other problems found: - Lateral most phalange (digit 5) on right front leg is swollen compared to left side- Some pain response noted in small phalangeal joints of affected digitPROBLEM LIST- Right front leg lameness (resolved)- Swelling of lateral digit (phalange 5) on right front leg- Pain in phalangeal joints of affected digitDIFFERENTIALSPossible fracture of phalange, soft tissue injuryTESTS- X-rays of right front foot recommended for next week if no improvement with conservative treatmentPLAN- Conservative treatment with anti-inflammatory medication- Rest and controlled exercise- Monitor response over next few days- X-rays if condition worsens or fails to improve- Estimate for sedation and x-rays to be providedCLIENT COMMUNICATION- Explained swelling of outermost digit on right front leg- Discussed possibility of fracture but likely not displaced- If fracture present, likely to be managed conservatively with bandaging rather than surgery- Advised rest and controlled walking only- Short, slow walks preferred- Monitor for improvement over next few days- Contact clinic if condition worsens- X-rays recommended next week if no improvement- Estimate for sedation and x-rays to be emailedTREATMENT- Anti-inflammatory medication: 0.2ml once daily with food- Advised to contact clinic if vomiting occurs- Give medication with full meal to reduce gastric upset    Vital Signs    Weight: 18.4;