C09991156 / invoice 10000

Reason: Recheck Dew ClawAppointment Notes: Overdue remindersHISTORY:  Recheck of a previous toe/nail infection. The owner reports the infection and associated odour have resolved, and the surrounding area appears improved. However, the nail is now protruding, causing irritation and pain.Current meds: Oral antibiotics (tablet).Vaccination: Not mentionedParasite Prevention: Not mentionedPre-existing conditions: noneAccess to toxins eg. Rodenticide: none EXAMINATION:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): Tongue noted to be dry.Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): not graded- Abdominal: no detectable pain on abdominal palpation- Rectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: Examination of the affected toe reveals the nail bud is detached but remains partially connected, causing irritation. The surrounding tissue is improved with no signs of active infection.Lymph Nodes: NSFEyes: NSFDemeanour/Behaviour: not discussed PROBLEM LIST:- Protruding, painful nail remnant on one digit, causing irritation.- Right FL dew claw DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Painful, avulsed nail. DIAGNOSTICS:None ASSESSMENT:Recheck consultation for a toe/nail issue. The previous infection has resolved with antibiotic treatment. The nail is now partially avulsed and causing discomfort. The plan is to surgically remove the nail remnant under sedation. TREATMENT:  A temporary bandage was applied to the affected foot to protect the area and prevent licking. Scheduled for a procedure tomorrow to remove the nail remnant. PLAN:- Surgical removal of the avulsed nail scheduled for tomorrow, 06/03/2026, with Dr. Briar- Admit tomorrow morning. Fast from midnight tonight, water is permitted until morning. The evening antibiotic tablet can be given before 8 PM.- Post-operative bandaging for 3-4 days is expected.- Re-evaluation for bandage removal will be required.- Home into owner's care. CLIENT COMMUNICATION:Discussed the need for surgical removal of the nail remnant to resolve pain and irritation. Explained the procedure will be done under sedation tomorrow. Provided fasting instructions for the patient. An estimate for the procedure was provided, ranging from $1000 to $1500. Advised the owner that they may be able to claim this on their pet insurance. The owner will provide insurance details tomorrow. A new bandage was applied today to protect the toe.    Vital Signs    Weight: 14.9;       HeartRate: 100;       CRT: <2;       MMColour: pink;       Temperature: 39.4;       

Reason: Dew Claw Issue RhsAppointment Notes: Overdue remindersHISTORY:  Presenting for a dewclaw injury. The dewclaw nail came off on 02/03/2026. The owner cleaned and bandaged the area. Intermittent limping is reported, particularly when excited. A foul odour, described as smelling like prawns, has been noticed in the last few days, believed to be from the affected dewclaw. Eating and drinking normally. Otherwise happy and healthy. Anal glands were expressed once, years ago, but no recent scooting or issues noted. Current meds: noneVaccination: Not mentionedParasite Prevention: Not mentionedPre-existing conditions: noneAccess to toxins eg. Rodenticide: none EXAMINATION:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): not graded- Abdominal: no detectable pain on abdominal palpation- Rectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: The affected dewclaw is infected and malodorous. The skin around the dewclaw is also likely infected from the bandage. swelling noted unsure about joint involvement.Lymph Nodes: NSFEyes: NSFDemeanour/Behaviour: not discussed PROBLEM LIST:Infected dewclaw with associated skin infection.Mild pyrexia (39.8°C).Intermittent lameness. DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Infected torn dewclaw. DIAGNOSTICS:None ASSESSMENT:  Iggy presented for an avulsed dewclaw nail which is now infected. Examination revealed a temperature of 39.8°C, indicating a moderate fever. The intermittent lameness is attributed to pain from the infection.  TREATMENT:  The nursing team performed a full clip and clean around the infected dewclaw. A dry bandage was applied.Medications provided for home administration:- Antibiotics:amoxyclav  1 tablet twice daily for 10 days.- Pain relief/anti-inflammatory: Oral liquid, meloxicam 0.9mlon syringe, ONCE daily with food. PLAN:Strict rest for at least 10 days with no off-leash walking. Leash walks for toileting only.Recheck appointment in 3 days (Thursday) to assess the wound and decide if the bandage can be removed.A foot cover will be provided to keep the bandage dry when outside.X-rays are an option if there is no improvement, to rule out deeper infection or bone involvement, offered- owner Ok for sympto Rx for now CLIENT COMMUNICATION:Discussed the diagnosis of an infected dewclaw. Explained the treatment plan including bandage care, medication administration, and activity restriction. Advised to start medications tonight with food.Advised to monitor for signs of worsening infection, such as lethargy, inappetence, vomiting, increased panting, or feeling very hot, limping, more malodour . If these signs occur, or if there are any concerns overnight, to contact the emergency vet and inform them of the fever.Advised on methods to manage fever at home if needed, such as using wet cloths and a fan.Explained that the foul odour is from the infection. Recheck scheduled for Thursday. Cost of today's visit and treatment discussed. Owner was advised the possibility of ajoint involvement-if not imprving will have to sedate and Xarya and explore further. Owner aware of the fever- owner to monitor- advised the meloxicam should help to settle fever down. But if not settle by tomorrow contact and let us know. Has advised if worsen then toe amputation- has advised about the bandage causing the skin rash around the dewclaw. But requires bandaging today as to prevent further complication to the torn nail. Might worsen the skin- but will see- on AB - fever should settle with B and meloxicam- but if not by tomorrow owner to call back. Start meds tonight- if any issue advise calling AEC ASAP. Will be trying to remove the bandage with next visit if going well. .--- 04/03/2026 09:19:13 CM4:Tried to call to see how Iggy was doing today - NALM for o to return call    Vital Signs    Weight: 14.5;       HeartRate: 96;       RespirationRate: panting-owner says stress related;       CRT: <2;       MMColour: pink;       Temperature: 39.8;       

Dear Gabrielle, Thank you for your call today regarding Iggy. Please find below a copy of the advice you were given during your WebVet session. A copy will also be sent to your regular veterinarian if their details were provided.To help us improve the delivery of convenient healthcare in your own home we would love to hear your feedback. Please find your short survey here: https://forms.office.com/r/nQ8azmZbMbRegular Clinic: Majura Park Patient name and surname: Iggy Kane Mobile phone number: 0415791126Category of call (A-D): AHPP member (Y/N): YesReason for Call: Dew clawHistory:Iggy is an almost 5 year old SpoodleAppears to have damaged his dew claw in the last couple of hours, unsure when/howBled a bit and he has been licking at the nailThe dew claw is sticking right out at a bit of an angle, not sitting flush against the leg Cleaned with chlorhexidine Walking on the leg ok though he does seem a little bit uncomfortable Advice given: Dew claw injuries are common and typically occur secondary to some sort of trauma. In some cases the nail will fracture/break and deviate from its normal position. Pain and bleeding are common because the internal quik where the nerves and blood vessels reside is injured/exposed and sometimes the base of the nail where it enters the paw is affected.The general principles of initial care are to keep the area clean, ensure your pet is not licking at it (a cone on the neck is ideal) and if needed cover the area with a padded bandage to protect the injured nail and immobilise it so that it's not continuing to catch on things and cause pain. Ultimately though this nail will need to be checked in person as it may need to be trimmed back or removed to allow it to regrow (as once damaged nails don't really repair themselves). In most cases monitoring for 1-2 days over the weekend is reasonable and seeing a GP should be fine. However, if your pet is extremely painful/bothered by the nail, it's bleeding quite persistently/profusely or the nail bed is becoming red/swollen/oozy, then a more urgent check up is recommended.Your emergency options this weekend are ARH Canberra (which is covered under your HPP plan) or https://walkinclinicforanimals.com/ (which is not affiliated with Greencross or covered under your HPP).Appointment offered: Earliest available is Thursday March 5 at Greencross Tuggeranong (Cnr Duggan Street and Tharwa Dr, ph 6292 1900)Appointment booked: Yes (though Gabrielle will liase with the clinic on Monday to see if Iggy can be seen sooner if needed) Emailed to client and regular veterinarian: Yes If we have an appointment related to this enquiry booked within the Greencross network or our affiliated Specialist and Emergency Network (ARH, AEC, AAERC or MVSC Clinics) in the next 48 hours, then please present this history and the discount code "WebVetDiscount" so that the consult fee can be discounted. Note: HPP members already receive free consultations so are not eligible for WebVet refund. If you are not a HPP member you can apply to join via the following link: https://www.greencrossvets.com.au/hpp-signup/Kind Regards,Dr Leah Dornin, SA V-2591 www: https://www.greencrossvets.com.au/webvet/Email: webvet@greencrossvet.com.au This email address is not actively monitored and in case of emergency please contact your local veterinarian or emergency clinic.    Vital Signs