C09990951 / invoice 10000

SUBJECTIVE
Reason for visit/main concern: Fell off a ute ytd and was dragged on the road a very slow speed for a short distance. Lead was long enough so unlikely to have been strangled.
Since then been EDUD normally, no CSV. Very quiet otherwise, walking very gingerly as sore. 
O mentioned does get pododermatitis.
Current medication/supplements: none; no known drug reactions in the past; cytopoint injections for skin.
Current preventatives:
Current diet:

OBJECTIVE
QAR - walking ok but very ginger 
mm pink and moist, CRT <2sec
Lymph nodes: normal submandibular, prescapular and popliteal
Cardiac auscultation: NAD, no murmur, no arrhythmia, strong synchronous pulse HR: 
Pulmonary auscultation: NAD, normal BV sounds, no resp effort RR: 
Eyes: NAD
Nose: NAD
Ears: NAD
Mouth: NAD
Dental Grade: /4
Abdominal palpation: NAD, soft, comfortable
Skin: Multiple abrasion injuries to main carpal pad on both FLs and HLs. Full thickness digital pad abrasion to D1 of both HLs
Neuro: NE, normal mentation
Myo-arthro-skeletal: no obvious broken bones/toes. Mild swelling to the LH tarsus, not painful on palpation, no obvious dislocations/fractures. NAD on back/neck pain. Full ROM in both FLs and HLs. 
Uro-genital: NE
Temperature: 
BCS: 5/9 

ANALYSIS
Abrasive injuries to multiple feet
No obvious broken bones/dislocation 

PLAN
Start on ABs and meloxicam.
Bandaged all 4 feet today as very sore. Nurses showed her how to bandage.
Rec to clean gently with 2% chlorhex, wipe between toes , apply small bit of flamazine on wounds, melolin, vet wrap and hold up with elastoplast.
Change bandage daily as wounds are moist.
Recheck in 5 days. If looking good then leave bandage off +/- stretch out bandaging frequency to q2 days.
E-collar if chewing on bandage or use bitter bite. 

Next point of contact (recall/rv/reminder):
INI RV/after hours emergency centre

report from AVC 

DIAGNOSIS:
TREATMENT:
Nil, no evidence of rat bait toxicity

CLIENT COMMUNICATION/PLAN:
No evidence of rat bait toxicity, can monitor for lethargy and pale MMs but unlikely to develop toxici signs as emesis was successful and coagulation times are normal today

emailed hx to AVC & MASH CR