C09991560 / invoice 10000

Appointment Notes: Paws App Details:Booking Type: Consultation (sick or injured)Booking Vet: - Any -Booking Notes: Nail on his back left leg has been hit. Pet Insured: YesReason:  consult  History: Brought in by: Diet: Worming: Heartworm:Fleas: Ticks:  Medications:  Other:Vaccines/other meds due or near due: Examine: 1. BCS:   3  /52. Integument: nad3. Musculoskeletal: LH digit 4 mild erythema and swelling, pus like discharge around nail bed, nail firmly attached, no fractures of nail. All other nails wnl. 4. Teeth: nad 5. Eyes: nad 6. Ears: nad 7. Lymph Nodes: nad 8. Cardiovascular/Circulatory:   nad  9. Respiratory/Pulmonary:  nad 10. Uro-genital: nad 11. Gastrointestinal: nad ->11a Anal Sacs: not examined 12. Behaviour: BAR13. Other: Laboratory: Nail bed cytology - cocci and degenerative neutrophilsDiagnosis: LH digit 4 paronychiaPlan:Chlorhex wash SIDEcollar onRecheck INI, if worsens may need oral abx    Vital Signs    Weight: 6.4;       

Reason: AG IssuesAppointment Notes: BD History: Licking all four paws and bottom. Doesn't itch at ears. No medicated washes or meds. UTD NG spectra. Had AG expressed once at groomers but never been an issue. Thinks paw licking may be anxiety induced. No skin issues in past.Diet: RC dachsy + boiled chickenExamine: 1. BCS:    3 /52. Integument: no erythema all 4 paws, doesn't like me touching paws3. Musculoskeletal: nad 4. Teeth: G1-2 5. Eyes: nad 6. Ears: nad 7. Lymph Nodes: nad 8. Cardiovascular/Circulatory:   nad  9. Respiratory/Pulmonary:  nad 10. Uro-genital: nad 11. Gastrointestinal: nad ->11a Anal Sacs: expressed, normal AG material, R>L12. Behaviour: BAR lovely13. Other: Plan:Recommend checking AG in 1m, if all good stretch out to q3m. Made reminderEmailed O antihistamine handout, INI in paw licking recommend recheck + antipruriticsDiscussed dental care    Vital Signs    Weight: 6.8;       

Reason: AG IssuesAppointment Notes: BDO noticed fishy odour, and Dudley licking back paws which O thinks may be attempt to lick anusNo issues with AG in the pastBoth AG full, R more full than LGreat difficulty in attempting to express AG, L expressed slightly but unable to express R    Vital Signs