C09989728 / invoice 10000

Chipped long bleeding dew clawSubjectivePresenting Concerns:  Charlie, a 1-year 7-month-old male neutered Australian Bulldog, presented for broken front dewclaws. The owner reports both front dewclaws are split and bleeding. He is painful and will not allow his paws to be handled.    Lifestyle Risk Factors:-   The owner reports Charlie barks excessively at other dogs when he gets overexcited.ObjectiveMentation: BAR    Emotional Assessment: —  FriendlyAssessmentFractured dewclaws - Both front dewclaws are split and require removal under sedation as the patient is too painful to tolerate manipulation.    Reactive behaviour - Owner reports excessive barking at other dogs.PlanPending Diagnostics:-   Booked for sedation and removal of both front dewclaws on Monday, 08/03/2026. Drop-off is scheduled for 8:30 am.  Medications/Treatments:-   Sedation with endotracheal intubation is recommended for airway protection due to brachycephalic conformation.-   All other nails will be trimmed during the procedure.  Additional Discussion:-   An estimate for the procedure will be emailed to the owner.-   Discussed the potential for using oral sedation for future nail trims.-   Syringes for the owner's other pet will be provided.-   This consultation was processed as 'gap only'.    Vital Signs    Weight: 39.2;