C09988558 / invoice 10000

Presenting for: ate airpod
ate an airpod about half an hour ago
no current illnesses/meds
consented to induce emesis

BAR
mm pm crt <2
chest ausc NAD

induced emesis with apomorphine SC
vomitus containing airpod produced
reversed with 1ml metoclopramide

monitor at home

S: Uncomfortable and not sleeping. Very itchy with his ears. EDUF otherwise.

No previous issues with skin or ears. Not specific with ears.

No current medications.

Preventatives u to date.

O: not able to assess ears effectively. Smear unremarkaable. Inflammation in right ear but not that much discharge.

A: GS vs allergic vs other

P: Steroids given suspect general allergy and otoflush. Discussed sedated examination. Discussed derm referral (DE).

HISTORY: Presenting for sore tail
BIOP for 3 months, rescue dog 
Went swimming yesterday around 15 mins at the beach
Today sore in tail, painful, bares teeth when touched. 
EDDU normal, no CVDS 
Pre-existing conditions/ current medications: NONE

EXAMINATION:
BAR, BCS 6/9, T not taken
Eyes: nad
Ears: nad
Oral: nad
MM: pink moist crt 1-2s
HR: 120, no HM or A. PUlse strong and synchronous
RR: panting, no crackles or wheezes
Abdomen: tense, non painful
LN: nad
MSK: painful on tail palpation. Can make in full range of motion

ASSESSMENT:
Painful tail. ddx. swimmers tail > fx

PLAN:
Loxicom 0.2mg/kg SC
Loxicom 0.1mg/kg PO SID for 4-6 days start tomorrow
Neurontin 15mg/kg PO TID 
COMMUNICATION: rest at home, swimmers tail and recur