C09984105 / invoice 10000

Reason: Sore pawAppointment Notes: Paws App Details:Booking Type: ConsultationBooking Vet: - Any -Booking Notes: Sore paw Pet Insured: YesVerified: NoHISTORYPresenting for: Chewie presented for a swollen, leaking paw that has been constantly leaking since last FridaySkin: Owner reports swelling and constant leaking from one paw, initially tried spraying with an unspecified product BID but leaking continued. Friend provided another topical treatment but discontinued use as patient was excessively licking and hiding under bed for hoursCurrent Meds: Antinol once dailyEXAMBehavioural: Patient initially stressed and hiding behaviour at home when topical treatments applied, but cooperative during examination and accepted treatsIntegumentary: Swollen, inflamed paw pad with evidence of puncture wound or bite mark. Significant swelling and erythema presentMusculoskeletal: Localised swelling and inflammation affecting one paw padASSESSMENTPaw pad trauma with secondary inflammation - DDx: insect bite, ant bite, foreign body penetration with secondary bacterial infectionPLANNew Meds/Tx:- Prednisolone: 1 tablet BID for first 3 days, then 1 tablet daily. Reduces swelling and pruritus- Topical antibiotic cream: Continue application as directed- Elizabethan collar: Must wear to prevent licking, especially when unsupervised or overnight. Can remove under direct supervisionAdditional Discussion:- Wound likely caused by insect bite or foreign body during walks- Collar essential to prevent further trauma from licking- Monitor for worsening swelling or signs of infection- Return if condition deteriorates or fails to improveClient Comms:- Explained importance of collar compliance to prevent self-trauma- Discussed medication schedule and monitoring requirements- Advised to return if swelling increases or condition worsens    Vital Signs    Weight: 9.8;