C10004569 / invoice 10000

Appointment Reason: Unwell, Appointment Notes: Normally sees ACP but cant reach them on phone this morning, Something happened on Friday night and since then patient has been off food and sleeping all weekend.LSO reports did not eat untill some food last night and ate some meat around 6am this morning, o unsure how much he has drunk. LS b Reason: little brighter today; but still reactive around abdomen - cries which is unusual; ate some wet foodExamination: mm pink, teeth good, LN WNL, HR 120bpm = pulse - strong, chest clear, temp 39.6ambulatory on all 4 legs; reactive to L inguinal area; can palpate some scabs; clipped area - no external brusing but soft tissue swelling to L inguinal region/lateral flankhind feet nails very scuffedDifferential Diagnosis: dog bite wound - not penetrated skin but soft tissue damage; cannot r/o muscle wall damage - ie herniaTreatment: clipped area; no open wounds just abrasionsmeloxicam 0.1mL sc _+ cont 5kg dose sidf for 7ddoxycycline 25mg bid for 10dTreatment Plan:re-ck 5-7 days once discomfort resolved to assess muscle; cannot r/o abscessation but re-assess at re-ckL inguinal; scuffed claws    Vital Signs    Weight: 5.8;       

Appointment Reason: Suture removal (stitches), Appointment Notes: LS  ------- Sms reply: YRebooked from Wed 11/06. LS  ------- Sms reply: YReason: 17d post surgery; progressing wellO advises that will be moving and worried about cat stressingExamination: surgery area to anterior L thigh healed wellDifferential Diagnosis: discussed behaviour for new homeTreatment: s/o; feliway, drontal large POTreatment Plan:    Vital Signs    

Appointment Reason: Cat fight wounds, Appointment Notes: NEW CLIENT. Unable to get into ACP today, lame on 1 back leg and unhappy. LSPresenting for NQR today - OR growling when picked up today. Not sure if leg?? Indoor - outdoor cat. Toilets outside - not seen last time toileting, no straining to urinate. Has been very lethargic today. No appetite for food today. Last night ate well. No V+ seen. Unsure of stools. OR arthritis previously. Not on any medications. OR previously had Meloxicam. Last dose ~ 2 months ago. Helped with arthritic comfort. Demeanour: BAR, crankyBCS: 5/9MM: pink, moist, CRT <2sEENO: no ocular discharge, ears clean.Dental grade: 2/4 Resp: RR: 28; no wheezes or crackles auscultated. Cardiovascular: HR: 200 = PR, No murmurs or arrhythmia noted. Abdo: WNL, no abnormalities detected, allowed deep palpation without pain.LN'S: WNLMSK: WNL, ambulating on all four limbsInteg: multiple healed scabbed wounds over body - focusing around neck and dorsum; laceration to L lateral upper thigh ~ 2.5cm long deep through skin and subcut, exposing muscleNeuro: WNLUrogen: WNL Temp: 39.5Problem List. 1. Laceration L Thigh; Multiple Superficial Scabbed Wounds; PyrexiaDDx: Likely CF bites with sharp trauma causing laceration (fleeing?). Fresh laceration so primary closure likely to provide best outcome of healing.Admit for s/x.ace 0.15/ket 0.15/meth 0.05 + alfax + iso; intra op fluids; stable ga and BP; resect wound and closure sc with 4/0 PDS; nylon skin 3/0; e collar to headchecked body - wounds to looks like has got caught as longer scrape leading into; numerous other small wounds; back of neck;  dorsum - most superficialrest + s/o 10d; maintain e collar06/06/25- Insurance claim form attached and emailed to RSPCA at e-claims@petsure.com.au, LS    Vital Signs    Weight: 5.6;       MMColour: Pink;       HeartRate: 160;       RespirationRate: 48;       Temperature: 39.5;       BodyScore: 5;       CRT: 1-2;