C09988339 / invoice 10000

Appointment Notes: CHECK LHLVerified: NOHISTORYPresenting for: Jasper presented for evaluation of limping that started a couple of days ago, followed by hind leg limping/weakness. - Known scavengerDiet:- Not eating for the past couple of days unless hand fed- Usually has a healthy dietV/D/C/S:- Soft stools for a couple of days, not full diarrhoeaSkin:- Owner found scabby lesion possibly an insect (suspected tick) and removed it using tick twisters- No itching noted- Small healing patch visible on legCurrent Meds:- NexGard monthly tick prevention - up to dateOther:- Behavioural changes noted over last couple of weeks - resource garding aorund ownerEXAMMentation: BARWt: 20.4 kgT: Not takenHydration: NormalBehavioural: Somewhat reactive/sensitive but accepts treats readily during examinationCardiovascular: Heart sounds clearRespiratory: Lung sounds clearAbdominal: Normal on palpationIntegumentary: Small white spot noted on hind leg where tick was removed - flat, not raised, pink healthy tissue with no signs of necrosis or foreign body reactionNeurologic: Normal neurological examination, good proprioceptive placementMusculoskeletal: Ambulating normally, putting weight on both hind legs equally, no weakness or wobbliness observedDiagnostics: Full blood panel including comprehensive chemistry (18 parameters covering kidney values, liver values, electrolytes), CRP (inflammation marker), lactate (cellular oxygenation marker), and pancreatic lipase performed in-house - results pendingASSESSMENTInappetence and soft stools - likely related to recent tick bite and body's response to parasite attachment. Tick paralysis ruled out based on normal neurological examination and ambulation.PLANMedications/Treatments:- Anti-nausea injection administered (24-hour duration) - $85- Chedcked prices with ownerClient Comms:- Will call with blood results today- wound on leg site appears to be healing well with no signs of retained foreign body or infection    Vital Signs    Weight: 20.4;