C09999010 / invoice 10000

Reason: CON1 Not Eating, Struggling To Urinate?Presented and seen by Dr     @ Time/DateRegular Vet:Presenting Problem: Anal Gland AbscessHistory:Inapp. For 2 days, Any current medications:Any access to potential toxins?:E/D/U/D:Any known conditions:Diet:Preventatives up to date? Y/NExamination Findings:General demeanour:Temperature:Cardiovascular:Respiratory:Oral exam:Abdomen: soft, minimal if any faeces felt. No obvious pain elicited.Peripheral LNs:Eyes/Ears:Integument:Musculoskeletal:Gait:Neurological:Rectal exam:Urogenital:Body Condition Score:Initial Assessment:Client Communication:Likely an anal gland abscess. Discussed Ddx. Recommended lancing it as P is already not eating for 2 days. Other choice is symptomatic treatment and Reg vet to proceed with this tmr if they can. Vs. Symptomatic treatment and see how she goes but if she's not eating, she should not have meloxicam and ABx, so if she's not eating with an opioid injection that only lasts 4-6 hours, then she'll still require reassessment and interventions. O understands, consented to go ahead with abscess lancing here. Discussed costs assocaited. O has pet insurance with gap. Called O post admin panel, recommended IVFT for procedure until going home tonight, cost will be up to 1.8k. O consented to go ahead.Called O at 6.30pm to let her know Piper has had her procedure. It was an anal gland abscess, no obv other masses underlying at this stage. Expecting this to resolve post lancing and meds to go home with. If not eating, then paracetamol for pain relief and meloxicam if eating as it is better at reducing inflammation and pain comparably. Abx to go home with. Has cone on as well, until wound has healed. O to use a cotton pad with diluted betadine and dab at wound to ensure it remains clean BID and post defication. Just on fluids now to improve hydration and d/c at 9.30pm. Will show O meds then. O (Olivia) is a med student, understood every v well, happy with plan. Laboratory:Radiographic Findings:Ultrasound Report:Current problems:Differentials:Prognosis:Treatment:Plan: Daily update emailed to referring vet: YES/NOFinancial update provided to owner: YES/ NO    Vital Signs    Weight: 6.3;