C09984006 / invoice 10000

Reason: Rads +/- Stitch Up Appointment Notes: Overdue remindersHistory: LHL less swollen todayEDUD normallyHas been quieter, wanting to lay more Fasted this am Examination: BAR MM pink and moist Vitals wnl Chest clearAbdo okIntegument:- Small graze RHL medial side, clipped and cleaned - Laceration 1.5cm in length through P4 and P5 interdigital space.Closed with 3-0 monosyn simple interrupted (6x sutures) Bandaged foot. Change +/- removal 3 days Continue clav courseContinue paracetamol 250mg TIDSutures out 14 days. May be difficult to remove with location. Book with MR. May just need to dissolve ******* CLIENT EXPECTATION following RN radiograph review *******Please delete those not applicable, or otherwise highlight preferred communication.* SAME DAY call* call by NEXT DAY* call by CONSULTING VET when next on duty* call ONLY IF NEW INFORMATION TO REPORT (ASAP if urgent - leave with CONSULTING vet if not)* NO NEED to call If nothing is marked (unless URGENT) a message will be left with the CONSULTING VET when next rostered.    Vital Signs    

Reason: Injured Paw Pad- Waiting OutsideAppointment Notes: Dogs where out for 5 hours yesterday. Where pick up by MOP and taken to vets. They have been safely returned to the o however the o said that the dog has hurt her paw. Paw pad looks like it is torn and it keeps bleeding. O happy to come over to CD to see Michael.History:On camden valley way for 5 hours yesterday Has been sore LHL sinceLicking at LHL and some bleeding EDUD normallyNo v+ or d+No coughing or sneezingExamination: BAR MM pink and moist Vitals wnlChest clearAbdo okLN nad MSK:- No pain or discomfort Integument:- Laceration P5 LHL interdigital space through webbing. Wound looks clean. No haemorrhage - Swelling of distal LHL. Unable to determine if brakes - Grazes all paw pads Assessment:Multiple grazes Laceration requiring stitch up Possible fracture LHL paw Plan: Admit for stitch up + rads tomorrow Amoxyclav 500mg BIDParacetamol 250mg TID (give 500mg tonight)Surgery/Procedure Admission Consent FormHas your pet eaten in the last 12 hours?: No Other - please specify: EyesI would like my pet to have a pre-anaesthetic blood test.: NoDo you consent to your pet getting an ear tattoo?: Not applicableProcedure details : Stitch up + xraysPhone: 0414 305 696Is this the preferred contact number? If not, please complete below: YesEstimate : $1200View full form at https://api.vetcheck.it/share/AU_b21b60a3-afed-4b5b-b9b4-95e2350b53de    Vital Signs    

Reason: Poss XraysAppointment Notes: Reminder sent via irecallHistory: Lameness resolved in 2 days O only have panadol for 2 days Still chewing at areas of pawsO believes does look better Otherwise wellExamination: BAR, nervous MM pink Vitals wnlChest clearIntegument:- Lateral pad RFL still slight crusting and areas of eythema/hair loss- No pus expressed- No longer ulcerated Assessment: Ddx: pyoderma vs immune mediated vs other Plan: Finish antibiotic course. O has couple of days leftPrevent licking/chewing. Will not tolerate cone with anxiety, O to trial using sock INI recommended revisit, but hope have cleared infection and will heal from here Happy to O to send photos if concerned For:	NancyBreed:	Staffordshire Bull Terrier XSex:	Female SpayedAge : 	7y 3m FOR ANIMAL TREATMENT ONLYRx: 	Gabapentin 300mg capsules 	Quantity:	100Repeats: 	5		              Total Quantity:	600Valid from: 	25/02/26		to: 25/09/26Directions:	Give ONE tablet, orally (via mouth), 2-3 times (every 8-12 hours) on goingVerified: NoReason: History:Dog had lameness issue, possibly from rough housingCurrently on ABs with about 10 tablets remainingOwner reports anxiety issues in the petPreviously tried Gabapentin but found it less effective than current medicationDog kept inside during day which seems to help with recoveryExamination:BAR in consultMMs: pink & moist, CRT < 2secEars: No odour or significant dischargeCardio: no murmur or arrythmiaResp: Lung sounds clear, normal respiratory effortAbdo: comfortable on palpation, no palpable massesMSK: Lameness resolved, soft tissue injury suspectedIntegument: NADLNs: normalLaboratory:Assessment:Soft tissue injury - resolvedAnxietyPlan:Continue current ABs until finishedPanadol as needed for pain reliefContinue current anxiety medication (not Gabapentin)Keep dog rested and inside during recoveryConversation with owner:Monitor limb for any return of lamenessSome scarring may remain permanentKeep dog away from rough play during recoveryREX if lameness returns    Vital Signs