C10005796 / invoice 10000

Reason: Dog Fight Last NightHistory: * Attacked by dog last night* Urinated last night, not this morning* Hasn't eaten dinner although has had a couple smacko-like dog treats this morning* Was toe touching up until the point of arriving here* Had Meloxicam this morning but little-none leftClinical Signs: BAR38.9 120bpm pantNo concerns identified on cardiac or pulmonary auscultationInteg: LHL: warm and swollen tarsus, multiple lacerations including a puncture on the medial aspect of the hock with serosanginous dischargeMinor lacerations on forehead, base of left ear and pinna of left earRadiograph: Lateral and dorso-plantar views of the L tarsus identified subcutaneous gas localised to the level of the distal radius, no overt indications of tracking into the joint, otherwise unremarkable.DDX -: DFW - Superficial lacerations vs full thickness vs joint involvmentTreatment:* Clip and scrubbed with soapy chlorhex* Sedated 10mcg/kg (5 + 5 top-up) Medetomidine + 0.3mg/kg Butorphanol IM @ 11:40a* Radiographs and wound exploration* Dispensed 2.1mL (0.1mg/kg) Meloxicam PO for 7 days + a 500mg Tab (15mg/kg) Amoxyclav PO BID for 7 daysPlan:* TGH on Meloxicam, Amoxyclav and e-collar* Monitor for response to treatment (improvement of lameness) or deterioriation (redness, swelling, discharge)* Reassess in 5 days* Discuss Evie's (other dog) fluoxetine dose/alternative Tx - Inc to 1.5 tab/day and share info abt synergy    Vital Signs    Weight: 31.7;