C09991510 / invoice 10000

Appointment Notes: Willow (Dog) - Naomi Van Leeuwen - 0466477393 - Consult- One concern [Veterinarian : Dr. Valerie (Wed,Thurs,Fri)(No Preference)] - Broken toenail with quick exposed. Suspect it happened when she was chewing her own nails as she sometimes does this  No, this is not an emergency.Web BookingClient name: Naomi Van LeeuwenContact number: 0466477393Email address: naomivl@gmail.comPatient name: WillowHistory: Has always chewed paws esp back pawsO thinks she may have chewed her nail and broken it herselfNail bed was exposed but not bleeding at home, keeps licking itO has been spraying bitterspray but doesn't stop her lickingOtherwise well, no lamenessEDDU ok no v+ or d+ recentlyExamine: anxious but friendly mm pink crt<2s oral exam ok ln ok eetn ok chest clear HR=PR=100 abdo palp soft and comfortableR hind medial toe nail slight split exposing nail bed, hooked tip but not looseNail bed mild inflammation but no pus discharge, majority covered by remaining nailMild interdigital dermatitis and between paw pad, obvious saliva staining on both hind pawsPaws very damp from whetherTreatment: cortravance TID both pawsFluid bag sock placed Plan: advised O to keep paw dry and spray with cortavance as much as possibleTo file down tip of nail at home to stop her from catching the tip while walkingO to monitor for any discharge or further inflammation, keep sock on but if she keeps licking then put cone on    Vital Signs    Weight: 30.53;