C10009144 / invoice 10000

Walk in - attacked by Os dog just prior to presentation.Examine: Very flat and painful.Obvious trauma thorax / abdomen.HR initially 96, mm pale pink, crt 2 sec, BP not registering.IVC placed cephalic vMethadone 0.1ml IV at 9:30amOxygen therapy started 2 x Shock bolus hartmans IV (60ml over 15min). MM pale and BP very low Lateral and d/v views on xray show severe trauma to sternum and diaphragmatic herniaOffered referal to SASH for ideal care2nd option for us to do surgery .Estimates givenOwner opted euthanasia as unsure why dog attacked so randomlyGiven IV lethabarb to affectAngel ashes for cremation    Vital Signs    Weight: 4;       

TMHReason: Vaccination.Has been well, no concerns.Examine: BAR, BCS 5/9 CV / Resp: NSFs on chest ausc, mm pink, crt 1 secAbdo / LN: NADMouth: Grade 2 tartar upper 8s - recommend clean. Ears / eyes / skin: NSFsTreatment: Vaccination: Nobivac Tricat 2421104 07/27    Vital Signs    Weight: 3.9;       

Reason: VaccinationHistory: No health concerns.Assessment: HR 180, purring, thorax NAD, abdo NAD.Weight good.Teeth - some inflammation of the gingiva on the right upper arcade, small crescent shape just caudal to the upper canine root is concerning in case there may be a tooth root issue.  Discussed with o, recommended dental, o will consider.Healthy to vaccinate.Treatment: FelineGuard F3 vaccination given:  713278, exp 05/25, site 2.    Vital Signs    Weight: 3.8;