C10002711 / invoice 10000

CLIENT DISCHARGE NOTESPRESENTING CONCERNS:Left forelimb lameness and hot spot on pawPLAN:Discharge home with pain relief. Keep E-collar in place for next 5 days and continue with Ketacomb application.Medications for Administration at Home:Meloxicam: Dose to 8 MARK and give ONCE DAILY for 3 days. GIVE WITH FOOD.SPECIFIC HOME CARE INSTRUCTIONS:Use an E-collar for Reg for the next 5 days. Continue with Ketacomb as originally prescribed. Restrict activity for the next 5 days and avoid walking through grass or getting the paw wet. The Animal Emergency Service advises a reassessment with your regular vet within 48 hours to monitor your pets progress.  If your pet's condition deteriorates or they become flat or lethargic, go off their food and water, develop vomiting or diarrhoea or if you have any concerns please contact the Animal Emergency Service or your primary vet immediately.Thank you for trusting the Animal Emergency Service with the care of Reg.    Vital Signs    

HISTORY:Current meds:Prophylaxis:Pre-existing conditions:Access to toxins eg. Rodenticide:TRIAGE:HR:RR:Temp:Mm: Crt:Mentation:Pain Scale (0-4):Hydration status (%):EXAMINATION:Body Condition Score: Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gaitMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4):  - Abdominal: no detectable pain on abdominal palpation, normal gut sounds- Rectal: no detectable abnormalities, faeces:  Urinary: NSFReproductive (incl ext genitalia): NSFIntegument/Ears: NSFLymph Nodes: peripheral lymph nodes normalEyes: NSFPROBLEM LIST:DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:DIAGNOSTIC/MANAGEMENT PLAN:DIAGNOSTICS:ASSESSMENT:TREATMENT:PLAN:CLIENT COMMUNICATION:------------------------------------------------------------------------CLIENT DISCHARGE NOTESPRESENTING CONCERNS:PROBLEM LIST FROM PHYSICAL EXAMINATION AND HISTORY:ASSESSMENT:PLAN/DISCUSSION:TREATMENTS ADMINISTERED:Medications for Administration at Home:SPECIFIC HOME CARE INSTRUCTIONS:The Animal Emergency Service advises a reassessment with your regular vet within 48 hours to monitor your pets progress.  If your pet's condition deteriorates or they become flat or lethargic, go off their food and water, develop vomiting or diarrhoea or if you have any concerns please contact the Animal Emergency Service or your regular vet immediately.If your pet is going home and has a pressure wrap over where an IV catheter was placed please remove it within 20 minutes of leaving the hospital.Thank you for trusting the Animal Emergency Service with the care of your pet.    Vital Signs