C10009219 / invoice 10000

Hx/ went for regular walk yesterday morning, chased balls, sat at the cafe with Os and then once home he was very sore LF paw and it seemed a bit swollen. Across the day he has been licking it since, but swelling seems to have reduced slightly. Will not let Os touch it - toe-touching when walking still today. 
DUDE and BAR otherwise, able to rest overnight

Cx/ General exam WNL - BAR in clinic
MSK - holding LF paw up/barely touching on the ground. Wet hair concentrated laterally - digit 5 is swollen compared to RF and is very painful to touch. Moved hair back and noted split in the side of the nail right at the base/going into the skin with some bruising 
Skin - nothing otherwise unusual with skin of LF paw

Ax/ Pain/swollen LF digit 5 
ddx: split nail vs underlying phalangeal fx

Px/ Strict rest, meloxicam/amoxil and gabapentin for the next 5-7 days and assess by Tuesday if improving (mostly with pain level - use of the foot).
INI then will need to sedate to examine better +/- xray
If improving then likely nail bed split/infection causing cellulitis and pain, should resolve with medications

Os going away 17th March so will need to do workup during next week INI after long weekend

What prompted this consultation? {__}

Current dental care/history: {__}

Grade of mouth from examination: {__}/4 (edit the DS Dental Score Grade on invoice to reflect the correct species and score)

Grade 0 Homecare plan and recommendations: {__}

Grade 1 revisit scheduled: {__}

Grade 2-4 dentistry appt: {__}

Vet notes for patients receiving antibiotics (Grade 3-4): {__}

Vet revisit scheduled (Grade 3-4): {__}

Estimation given: {__}

Plan: {__}