C10006522 / invoice 10000

Reason: Injured Leg - Discuss PlanAppointment Notes: SN2wks post L metatarsal 2-4 fractureCurrent mx - meloxica 4kg SID - gabapentin 100mg BIDRan today and now soreWill email xrays to lucasRecheck and abandgae change in 10dThen likely another 2wks in bandageThen 2wks cage rest Discussed soft callous healing    Vital Signs    

History:Admit for repeat xray + bandage change post fracture RH  MT 2,3,4 (21 February) with conservative treatment.O notes- cat content is eating and drinking normally, no vomiting or diarrhea- Sometimes bears weight, sometimes dragsCurrent TxGabapentinMetacam 0.1mg/kgkg sidExamine:Active and alertCrt<2, pulse normal, Heart and resp sound normalAbd palp soft and painlessOrtho: Sedation:Butorphanol 0.3 mg/kgMedetomidine 0.015mg/kgXrays:The xrays show mild-moderate increased fracture fragment seperation compared to previous radiographsP- contineu conserv treatment with increased strict rest and immobilisation- rebanaged with increased immobilisation- repeat xrays in 2-3 weeks- advised can delay healing and surgical stab may be required if further displacement occurs    Vital Signs    

Reason: Leg Injury RHHistory:SP assessed x rays advised recommend bandage and allow healing without surgery Plan:Skye not interested in eating in hospital so recommend having her at homeStrict cage rest 10d then recheck, remove bandage and re x ray - should be starting to form callus at this stage Then 1 more month of rest and analgesia (metacam until 10d recheck then reassess, gabapentin to continue)Discharge appt booked for 6pm Recheck in 10d or sooner if concerns    Vital Signs    Weight: 4.25;