C10000281 / invoice 10000

Reason:  
History: 
- RFL between middle digits  
- Thurs afternoon was NWB, continued next morning. Was licking paw and noticed it was quite gooy. Has given meloxicam and clean with betadine
- Continued to licking it

EDUD: All normal
Diet:
^V+/D+/Coughing: None
^Pre-existing conditions: None
^Current medications: None
^Previous adverse reactions (vacc/meds): None
^Prophylaxis: UTD

Examine: 
Mentation: 
Body condition score:  /5
^MM: P/M
^CRT: <2s
HR:   w/ no murmur or arrythmia auscultated             
RR: w/ no adventitious sounds auscultated
^LN: Submandibular, prescapular, and popliteal WNL
^Temperature: NE
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^Ocular: NAD
^Oral/Dental: No malocclusion noted. Dental...
^Gastrointestinal: Comfortable abdomen, with no pain noted on palpation. No abnormalities felt.
^Integumentary & lumps (measurement, location): No lesions noted. No umbilical hernia seen or palpated.
^Musculoskeletal: Full ROM of all joints. No swellings or pain palpated. No obvious lameness. Full examination not performed.
^Urogenital: Vulva has good conformation. No staining or abnormal skin lesions noted.
^Neurological: No obvious neurological deficits noted. Full examination not performed
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Problem List/Assessment:

Discussions:

Treatment: 

Plan/Follow-up: 

Wound rec after NSAIOD and AB

 - site looks good
 - minor discharge  - serous
 - AB finished 
 - Adv O to keep an eye on re infection 
 - if swelling or discharge noted RV asap - might need to extend course ( Or flush but unlikely) 

Discussed MSM for joint and mobility and option for ongoing joint/IVDD problems 

Reason: Courtesy phone call 
Nurse: sms sent