C10001943 / invoice 10000

Appointment Notes: B/c  ------- Sms reply: YesReason: Bandage changeCase Vet: Last Changed & Who by >> EMNTodays Change Done by >> CRASubjective:OR going well at home, no concerns, is leaving the bandage aloneHas 1 day of amoxyclav leftDUDE, no V+ or D+BAR in consultObjective: Wound is well granulated but markedly malodorous + has marked yellow thick mucoid discharge around it + surrounding skin is erythematous.Treatment: Bandage Technique>> Wound cleaned with dilute chlorhexidine, manuka honey to wound, melolin over the top, softban up to just above hock, secured with conforming layer, finished with elastoplastMaterials used >> Manuka honey, melolin, softban, conforming bandage, elastoplast>> AmoxyClav 187.5mg BID PO for 7 daysAssessment: > Well granulated and healing, but concern for ongoing infection despite amoxyclav. O agrees C&S is warranted at this stage.Plan: > Bandage changes q2daily> Await C&S results, continue amoxyclav in the mean time    Vital Signs