C10004041 / invoice 20000

Surgery Recheck
7-9
Fig Tree Pocket
A&N Confirmed

Kyra - 0412 913 166 - House-Sitter

Progress examination:

The cranial 3mm of the spey wound is non-healing due to an exposed SC suture knot. 
Trimmed with alcohol dipped nail scissors (owners, and blunt unfortunately) but cut back to demris level 
Informed the carer that it should continue to heal and the red spot should get smaller, not bigger. They can proceed with regular activities now, but keep looking at the wound daily to make sure it is clean dry and intact. 
Application of a simple barrier moisture cream like paw paw ointment or savlon or aloe vera are also suitable before a walk. 

NOTE: Kyra reports having the vest on made her itchy. Advised washing it, but also FLAG for skin health examination and food allergy trial discussions in future visits. Consider NEXT vaccination, O is asked about this and appropriate time allocated to consult on dermatology conditions of the breed type. 
11

Consultation -

Subjective:
Seen for :
-
- EDDU normally, no V/D
- no current medications
- BAR on examination

Objective:
T , PR , RR , MM pink, CRT <2s
Body condition:
Thoracic auscultation: No murmur or arrythmia, respiratory rate and effort WNLs, no adventitial sounds.
Abdominal palpation: Soft and non-painful, no distension or fluid wave
Eyes: Clear, no discharge. Pupils even with normal PLRs and menace.
Ears: Clean with no discharge or erythema.
Mouth: Grade 1 calculus, grade 1 gingivitis
Integument: Healthy haircoat, no lesions or masses
Musculoskeletal: Ambulatory with no lameness
Neurological: BAR, cranial nerves WNLs
Rectal exam: Not performed

Assessment:
1. R eye conjunctivitis - ddx: bacterial vs allergic

Differential diagnoses:

Plan:

Bloods last performed:

Dental recommendation:

Focus for next visit:

Next point of contact: