C10003935 / invoice 10000

Reason: Infected Torn Dew ClawHistory: When returned home from a walk 5 days ago noticed Wes had torn off his dew claw. Seemed alright initially but now looks a bit swollen and wondering if infected. No lameness and not licking at it. Has been lethargic also. Normal EDUF. No vomiting/diarrhoea. No coughing/sneezing.Has been scratching at his ear. Diet: kibble + chicken mince/meat Preventatives: nexgard spectra UTD Medication: cortisone acetate 2.5mg PO BID, flornief 0.2mg PO BIDObjective: Quiet, alert and responsive. Weight loss of 120 grams. Eyes/nose/mouth: NAD. Ears: NAD on external & otoscopic examination. Integument: left dew claw has been torn off, quick exposed. Nail bed swollen & erythemic. Thoracic auscultation NAD. Abdominal palpation NAD. Peripheral lymph nodes NAD. Trimmed remaining nails. Assessment:Infected nail bed post traumatic tear of left dew clawPlan: Clean with dilute chlorhexidine BID (owners have at home already). Commence amoxicillin clavulanate 300mg PO BID. Will not place E-collar today as no self trauma but can provide for owners if required moving forward. Will not bandage at this stage as not weight bearing, and not actively discharging currently. Recommended increase dose of cortate to 5mg tonight given stress of rhe appointment today, then can reduce back to maintenance dose of 2.5mg PO BID ongoing.    Vital Signs    Weight: 15.65;       MMColour: pink;       Temperature: 38.9;       HeartRate: 100;       BodyScore: 4/9;       DentalGrade: 0/4;       CRT: < 2 sec;       

    Vital Signs    

Reason: Recheck For MedsGenerally has been wellRight axilla - lump sl bigger.Seems to get tired when out running with other dogs.Gets dry food, some food from markets.Drinks <1L per day.Medications: 2 florinef morning and night. 0.1mg1/4 cortate 5mg am and pm.Examine: Mms pamChest normal.Right axilla 15mm soft lump-> lipoma on FNA. Assessment: good healthIncr cortate dose to 2.5mg bidCan have higher dose if going our for lots of exercise.Scripts for 12m written.PrescriptionTHIS PRESCRIPTION IS FOR ANIMAL TREATMENT ONLYThis prescription is not covered by the PBS or MedicareOwner:	Ms D Henderson7 Grove Street   BirchgroveNSW    2041Patient:	WesSex:Male Neutered Details:	Grey     WhippetSpecies:DogDate of issue:06/11/2025	       Reference    1010104	Prescription Expiry date: 06/05/2026Medication:Cortisone acetateForm:5mg tabletsQuantity:60Instructions:1/2 tablet morning and nightRepeats Authorised:5Patients must have had a Standard Veterinary consultation within the previous six months for ALL written prescriptions. Some medications will require a more frequent recheck interval.Fee for Lost Prescription is $15.Dr Jason Lenord V5889  for Balmain Veterinary HospitalSignaturePrescriptionTHIS PRESCRIPTION IS FOR ANIMAL TREATMENT ONLYThis prescription is not covered by the PBS or MedicareOwner:	Ms D Henderson7 Grove Street   BirchgroveNSW    2041Patient:	WesSex:Male Neutered Details:	Grey     WhippetSpecies:DogDate of issue:06/11/2025	       Reference    1010104	Prescription Expiry date: 06/011/2026Medication:Fludrocortisone acetateForm:Florinef 0.1mgQuantity:200 tabletsInstructions:2 tablets morning and nightRepeats Authorised:7Patients must have had a Standard Veterinary consultation within the previous six months for ALL written prescriptions. Some medications will require a more frequent recheck interval.Fee for Lost Prescription is $15.Dr Jason Lenord V5889  for Balmain Veterinary HospitalSignature    Vital Signs    Weight: 15.77;