C09983886 / invoice 10000

Appointment Notes: Ollie (Dog) - Consultation (illness, check-up etc) [Veterinarian : Dr. Elise Fookes (Preferred Clinician)] - Diarrhea and continuous licking of the side bum (looks like anal gland is blocked)Web BookingClient name: Sashya HettigodaContact number: 0449804608Email address: sash.hetti@gmail.comPatient name: Ollie Original Appointment Type: Consultation (illness, check-up etc)History:Started licking bottom this morning - licking mainly at the R side, was not bothered by bottom at all yesterday, O has also noticed that it seems a bit swollen and irritated in this areaHad some dx 2-3 days ago, has improved a lot since thisWas also flat and lethargic and off food 3 days ago, last 2 days has been eating normally again, no vomitingHas been at the park the last couple of days and seems normal with thisA bit tired again last nightOn chicken and rice mainly at the moment, normally gets this or some other cooked food and kibble, is fussy so doesn't really love kibble muchDoes have the occasional scoot but has never had any AG issues before, has never had them expressedExamination:BAREyes, ears NADMM pink and moist, CRT <2Teeth grade 1HR 120 NADLungs clear and normal bilaterallyAbdominal palpation soft and comfortable - NADR side next to anus there is a palpable swelling over R AG and small wound below also with a small amount of blood- lots of saliva in fur around areaL AG empty- R side too painful to express but it is very enlarged and thickened, small amount of purulent type contents with blood and dark AG material Assessment:R side AG abscessPlan:Discussed AG abscess with O and options for txDiscussed sedation and flush, at the moment O happy to trial medical management- will go on to abx and NSAID courseDiscussed signs to watch out for, if incessantly licking recommend coneRecheck in one week, sooner if any concernsMay need regular AG expression if issues are ongoingOk to pick up pro-kolin if stools soft, if dx recurs and worsening then need to stop NSAIDS     Vital Signs    Weight: 9.5;