C09997161 / invoice 10000

O requested PVPs prior to vet visit (recommended at last visit 2 years ago). Has chronic anal gland issues; requires PVP for handling and treatment.     Vital Signs    

Reason: Crying When Turning Head MWHistory: Last 4 hours (10.30am) vocalising, turning head constantly, super high alert/stressedYelped when picked up Shaking; but normal for himO did stand on his foot when walking at 9.30am, he gave  yelp. No lameness, no limping, running around, no licking feet etc.Yesterday normalNo meds/no suppsDesexing is only surgery, once had a bee sting in mouth (removed under GA with desexing)Last eaten last night (chicken neck)Examination:Unable to examine , very stressed, urinated on mumAble to look left and right normallyUp and down normallyGait clinic is normal; no limping or lamenessEars pale, no redness, no obv dischargeEyes NADCoat glossyDiscussed option of either symptomatic pain relief and monitor OR sedate and full exam for underlying issueO elected sedationTreatment:Sedated with difficulty with 0.15ml torb + 0.15ml Dom IM into lumbar musculatureUrinated on KG and MWGiven to O to hold whilst sedation takes effectRepeated exam: BAR- sleepy Ears cleanEyes perfectDental grade 0LN NADHeart NADLungs NADAbdo NADSpinal palpation NADCervical spinal discomfort on neck flexion. Repeatable and pain response from Buddy despite sedation. NAD neck extension and left and right movement ROM all limbs NADRHL digits 3 and 4 some crepitus in the metatarsal phlangeal joint, no pain, no swelling, no pain reaction from Buddy. Normal ROMNails longAG 3/4 full;  purulent and odourous Treatment:Pain relief and antibiotics, 1 weekMonitor. INI call to book for neck xrays +/- bloodsPrior to any further appts please call for sedatives to be given beforehand Grooming: nails clippedAGE    Vital Signs    Weight: 5;       MMColour: Pink;       HeartRate: 100+;       BodyScore: 5;       DentalGrade: 0;       CRT: <2;