C09988437 / invoice 10000

Reason: Swollen Eyes After A WalkAppointment Notes: ANBHistory:  Presented 1 hour after a walk, O noticed eyes are swollen Otherwise normal self Had a season around 6 weeks ago and has mammary development, not mated Examine:  Facial swelling around eyes and muzzle, MM pink, moist, CRT <2sec, HR 124bpm with strong and synchronous pulses, abdo palp NAD, T 37.7, coat NAD, signficiant mammary development- Acute Allergic reaction - Likely phantom pregnancy Plan: - Chlorphenamine 1ml - Continue 4mg PO q8 from tonight 6 doses - 0.1mg/kg Dexamthasone give SC - Re-check immediately if any breathing difficult, progressive facial swelling, vomiting or other signs of anaphylaxis. Re mammary development, is booked for spey end of the month, advised O if still significant mammary development we will delay desexing and prescribe cabergoline but still a few weeks away and most resolve with time without intervention.    Vital Signs    Weight: 5.6;