C10007376 / invoice 20000

Reason: Change Bandage Appointment Notes: Overdue remindersHistory: Lost, 04/03 laceration LHL interdigital space P2 stitch up sx Last vomit was sunday night >24h ago, said wasn't retching/no abdo effort more lik regurgStopped NSAIDs on sundayNot sure if still having d+ as 3 dogs at home & been going outside Been feeding hcicken & rice plus some sensitive stomach lykkaGiving losec & ABs now, Weight bearing since sunday, but little owrse this morning thinks knocked it on something in consult roomExamination:BAR, lovely dogMM pinkRR pantingLHL digits 2-3, stitches in tact, ulcer on interdigital surface P3? Elastoplast ripped off hair from lateral surface of foot just below hock no wound. Padding soaked through but bandage appeared mostly cleanTreatment: Better held in lateral with 2 nursesCleaned quickly with chlorhex C dilutedApplied allevyn, swab between paw padsConforming, vetwrap, elastoplast to just below hockAssessment: Healing wound LHL, still very exudative, but weight bearingPlan: Re-bandage in <3 days - already booked tomorrow, day off work, happy to come back tomorrow to see MRO & re-bandageCan use panadol if sore (no data on interaction with losec/omeprazole) 10-15mg/kg q12h 500mg tabs - advised bandage probably keeping it comfy for now but may help with inflammation & healing. Paracetamol dose instructions supplied to client    Vital Signs    

Reason: Recheck +/- BandageAppointment Notes: Overdue remindersHistory: Unsettled following surgeryExamination: P2 swollen and bruised Large amount of blood drained from medial junction between skin and pad when manipulating Wound itself is holding together, doesnt look amazing Sore to palpate P2 Assessment: Ddx: abscess vs haematoma vs degloving injury?Plan: Elected to rebandage, think will just chew at wound if left open Add NSAIDs for pain relief/reduce swelling. Add losec to reduce risk of GI ulcer Recheck + bandage change Monday--- 07/03/2026 5:08:27 PM MR:Bled through banadage, nurses rebandagedNot actively bleeding--- 09/03/2026 11:16:57 AM CDR:Lj attached email from owner. Hi Dr Michael, Thought id give you an update on Nancy. Her movement has been a lot better and she is weight baring on her foot a little more. she's settling easier too. Unfortunately she vomited Saturday night, and sunday too. Sunday breakfast @ 9am vomited around 1pm and dinner @ 7pm vomited 11pm (and the vomit is just once and suddenly too almost like projectile there was a tiny bit of blood but small). she wants to eat straight after. i stopped giving her the anti-inflammatory today and didnt give her any meds last night or this morning at all besides the losec. thanks Nicole. call me if you wantg me to restart meds 0414305696--- 09/03/2026 6:24:15 PM MR:Discussed with O had vomit couple of times over weekend (possibly regurg, doesnt sounds active). Likely from NSAIDs as had no issues previously. Was booked to change bandage today, but had to reschedule. Booked for tomorrow morning. Appears more comfortable. Stop NSAIDs and can hold on panadol if comfortable. Needs to keep having antibiotics    Vital Signs