C09985328 / invoice 10000

Reason:  Stitches need to be removed from Dipper's front-left elbow. Background: Abscess formed end of last year (most likely cat bite). Vet prescribed antibiotics which fixed abscess but skin deteriorated (infection) and needed to be removed on 30/01. Stitches ready to be taken out but other vet practice unavailable. Due for suture removal for the wound on the LFL.  Has had a collar on and hasn't been particularly happy.Started as a cat bite wound, then it sounds like the skin over it became necrotic, then it got stitched up somewhere (not sure where).Wound is scabby and sticky, and the distal 2cm has opened.  Sutures not holding or doing anything.Sutures removed, wound cleaned up, edges trimmed a fraction, and 3 surgical staples placed.Another course of clav required and staple removal in 2 weeks.    Vital Signs    Weight: 3.6;       

Reason: Cat Fight AbcessAppointment Notes: thank you guys, has relayed that it works as a triage bases, O was happpy with this and super greatfulHistory: Noticed a swelling on his LF leg, has been limping. Today is quiet and off his food.Has footage of him having a scuffle with another cat about a week ago - but has seemed fine until past few daysNo current medication, has been healthy so farExamine: BARMM pink and moist, CRT >2sHR: 168, RR 32, chest WNLTemp 37.8LFL laterocaudal elbow - golf ball sized fluid swelling. Long bones palpate WNL. Rest of limbs WNLAssessment: LF swelling - despite no obvious puncture wound suspect CBATreatment: Meloxicam 0.05mg/kg (0.35ml) sid poAmoxyclav 12.5mg/kg (0.8ml) bid poPlan: RV INI - may need to consider lance v xray then    Vital Signs    Weight: 3.6;       

Reason: Cat Fight AbcessAppointment Notes: thank you guys, has relayed that it works as a triage bases, O was happpy with this and super greatfulCAD triageHx: o noticed swollen wound on leg this morning, p gone off food and is very flatExam:Two swelling spots, LFL, LHL37.8Hr 160Rr 36Crt pink 1sTreatment: nonePlan: wait for gp  vet availability    Vital Signs