C09996652 / invoice 10000

Reason: Injured Dew ClawAppointment Notes: EM History: Hurt dew claw at the park, has done this before. Weight bearing. No medical issues. Eddu normal, energy levels normal. Not on any meds. Carter Road Companion Animal Practice had a dental last year, think may have had bloods done (recommend request hx before sedation). UTD NG spectra.Diet: prime 100 roll + scratch kibble + mighty munchExamine: 1. BCS:   3  /52. Integument: : L dew claw fractured at nail bed. Also appears nail is growing backward/ been turned around? Sore on palpation. Dried blood at base of nail. No pus discharge. Barbering of hair on lateral flanks, no erythema. No lameness.3. Musculoskeletal: G2 MLP bilateral4. Teeth: G2 (can only see canines, mouth shy)5. Eyes: nad 6. Ears: nad 7. Lymph Nodes: nad 8. Cardiovascular/Circulatory:   nad  no murmur or arrhythmia9. Respiratory/Pulmonary:  nad 10. Uro-genital: nad 11. Gastrointestinal: nad ->11a Anal Sacs: not examined 12. Behaviour: BAR13. Other: Assessment: Fractured L dew clawMLP bilateralPossible allergic skin disease (environmental vs. Food) vs. Infectious vs. Endocrine (hypoT, hyperA)Treatment: Meloxicam 0.24mls SCPlan:Nail pull under sedation tomorrow. O declined PAS/CBC.Also to discuss allergic skin disease (antihistamines/cytopoint/topicals) and OA prevention for MLP (antinol/zydax) at discharge tomorrow.    Vital Signs    Weight: 6;