C09989847 / invoice 10000

Appointment Notes: Cut left fore legUnable to assess properly today due to temprement and pain level.Area is swollen and has skin flap hanging. 0 had bandaged and it was soaked with blood but had stopped bleeding upon presentation.Recommend to come back on Monday for xrays, and possible surgery etc.Dispense Amoxyclav 500mg x 10 - Please give ONE tablet TWICE daily ORALLY starting todayDispense Clindamycin 150mg x 15 - Please give ONE and a HALF tablets TWICE dailyDispense Meloxicam dog oral 32ml - Please give up 45kg dose ONCE daily ORALLY starting today    Vital Signs    

Left front leg has a cut from having a scrap with his brother Consulting Vet: Dr David BartholomeuszLeft front leg has a cut from having a scrap with his brotherLeft front leg has a cut from having a scrap with his brotherRecord for SA consultPreventatives - what product and when?Flea/Tick ( spectra ) IntestinalWorms ( spectra) Tape Worm ( )Last vaccinated? ( ) Heartworm - what product and when? ( spectra )Who is the pet insured with (yes)Current medications ( meloxicam this morning )Diet ( rice, veggies, chicken and yogurt, sardines. ocasional dental chew )Body condition score (6) Eddu ok? (WNL - bit put off toileting) Presenting complaint: cut on back of LFLHistory: other dog bit back of his leg last night - not started by anything particularDemeanour(BAR )HR: rate -(), no murmur audible, normal rate/rhythm, strong synchronous femoral pulse. ) RESPIRATORY ( RR: normal bronchovesicular sounds ) panting Temp () Mc mb (pink/moist CRT <2s )Peripheral lymph nodes ( )Skin ( coat in good condtion)Eyes ( clear anterior chamber, no blepharospasm or ocular discharge) Ears( WNL - full otoscopic exam not performed) Oral blue light findings/ dental grade: (6 ) Nose: ( WNL)Mobility: ambulatory all four limbs. No obvious lameness.Nail Trim <N>Abdominal - no pain on palpationPLN's - WNLU/G - NADNeuro - NADAnal glands: not examined Titre testing discussed (N) Vet Findings/problem list:Differentials/interpretation:Diagnosis: pad wound back of LFL - Split the carpal pad.Treatment: continue meloxicam 41kg dose ONCE a day, amoxyclav 500mg tablet TWICE a dayPlan: if not healing consider stitch up, hopefully to heal by secondary intention Recheck due:< N>Date: < only if not healing >Future Booked: < N>Date: <>VET CHECKED : ( DB)-------------------- Fees Charged: --------------------Small Animal Consultation At Clinic Qty: 1 $93.45Meloxicam 32ml Oral Canine Qty: 1 $70.65Label: Give to the 41kg mark ONCE a day for 7 days. Always give with food, stop if vomiting/diarrhoea occur.Expiry Date: 31 JUL 26Amoxyclav 500mg Tablets Qty: 10 $58.65Label: Give ONE tablet TWICE a dayTotal Invoice: $222.75    Vital Signs    Weight: 41 (Converted weight);       MMColour: Pink (Converted Mucous Membrane Colour);       BodyScore: 5 (Converted Body Score);       DentalGrade: 6 (Converted Dental Grade);       CRT: 2 (Converted Capillary Refill Time);       

Consulting Vet: Dr Robert HansonBandage checkand laser againBandage chewed off 5am this morningDB/RH elected not to replace it.Laser applied from distance to leg.Dog was muzzled.Was reactive to movement around the leg.Durogesic patch removed.Used treats to distract.was ok but did take some effort-------------------- Fees Charged: --------------------Laser Therapy Qty: 1 $46.2Total Invoice: $46.2    Vital Signs    DentalGrade: 6 (Converted Dental Grade);