C09983781 / invoice 10000

Reason: Licking PawVerified: NoSubjective:Yuki has been persistently licking his left front paw. Previously examined for this issue in February. No improvement noted despite ongoing treatment. Possible burn from a hairdryer or insect bite suspected. Yuki is described as an anxious dog with potential separation anxiety.Objective:T , BW kg, BCS /9HR: , MM pink, moist, CRT < 2secEENT - No nasal discharge, no other significant findingsDENT - NADH/L - Normal rhythm, no murmurs. Pulses strong & synchronous. Normal RR & effort.ABDO - Soft, non-painful, no palpable massesUG - WNLMSK - NADNEURO - Gait & mentation normalOther issues - NoneAssessment:Persistent paw licking - Possible obsessive-compulsive disorder due to anxiety, rule out physical causes like burns or insect bites.Plan:- Continue monitoring and managing anxiety and obsessive-compulsive behaviors.- Use E-collar to prevent paw access.- Apply bitter tasting spray to deter licking.- Finish course of Prednisone.- Discuss potential initiation of behavioural medications with owner upon their return.- Recheck if symptoms persist or worsen.    Vital Signs    Weight: 17.6;