C09993458 / invoice 10000

Reason: Patch Of Fur Missing From Nose, Area Is Red SwolleAppointment Notes: Paws App Details:Booking Type: ConsultationBooking Vet: Dr Helen BurnsBooking Notes: Nana has a patch of fur missing on her nose, and the area is red and swollen.can I meet with DR HelenOwner Is your pet(s) insured?: YesHistory: swollen dorsal nasal plane 5 days after digging in the garden. Cleaning her nose at home with saline. And iodine. Nose is very itchy. Otherwise BAR, EDDU well. Has been going to West Lindfield dog park every day to play with a ball since 3mths of age. Recently has been growling at unfamiliar dogs.In the morning has bilateral eye discharge. No further discharge in the day time, discharge not coloured. Not bothered by it.Subjective: Very anxious in consultObjective:  both eyes have very mild conjunctival inflammation, no blepharospasm, no discharge. Dorsal nasal plane very swollen, surface moist, hairless.Assessment: 1. Mild allergy/irritant conjunctivitis2. Suspect bacterial nasal plane infection, cannot exclude fungal or insect sting hypersensitivityNot likely DLE3. AnxietyPlan: 1,. Monitor2. Commence amoxyclav and neo cort. Recheck INB3. Commence behaviour modificaiton exercises, keep on lead, recommend group dog training classes.    Vital Signs    Weight: 36.3;