C09986418 / invoice 10000

Reason: tail injury

History:
Bleeding from tail tip on Saturday, trying to lick at it
No longer bleeding
Swam this morning in the sea
BAR DUDE normal

Examination:
BAR
HR 104, no murmur/arrhythmia
Panting, effort wnl, normal lung sounds
T 38.3
MM pink and moist, crt<2secs, grade 0
Abdo palp nsf
Eyes ears nsf
Tail tip bleeding, clipped but would not tolerate bandage

***ADMITTED***

ZVM Sedation:
Medetomidine 0.4ml / Butorphanol 0.4ml sc
Reversal with Atipamezole 0.2ml im
Worked well and recovery uneventful 

Clipped tail tip and bandaged with fixamul dressing.

Treatment:Carprofen 75mg bid 7days. Cephalexin 1000mg bid 5days. 

Plan:Cu on Monday. Wear ecollar. 
Warn owner that tail tip injuries acn be difficult to heal and could end up in tail amputation. 

Reason:Vaccination

History:Doing well.

HWP:PH inj

EDUF:Normally


Examination:
Mentation:BAR
BCS(0-5):4/5. Watch weight
mm:pmg      CRT:<2s
HR:110
Dental grade (0-4): mild 2
Bilateral oe with R ear worse than L ear. Could not do proper otoscopic exam at all. Does not allow it. 
Cytology: Malassezia bilateral. (forgot to charge)

Assessment:
*Healthy to vaccinate
*Oe

Vaccination given:C5- Protech C4 and oral bb/ PH inj

Dermotic 1 ml in each bid 7days. If owner does not manage dermotic ear meds rec ear flush under sedation with compounded ear gel afterwards. 

am 15/8 - o collected hp