C10010155 / invoice 10000

Reason: Check UpAppointment Notes: Paws App Details:Reason: Re-check foot re: infection/abscess response to Tx.Has ben on 125mg Amoxy-clav BDID x 7 d.Examination: BAR.LHL medial aspect of digit 4 wound has mostly healed. On expressing the lesion, a small amount of purulent material was expressed.Ispislateral popliteal LN still mildly enlarged.Temp normal.No lameness.Assessment: Good repsonse to Tx so far.Treatment: Dispense 5 more days AB's.Re-check wif nay furterh concerns though consiered unlikely.    Vital Signs    Weight: 7.8;       MMColour: P+M;       Temperature: 37.9;       CRT: <1 sec;       

Appointment Notes: Paws App Details:Booking Type: ConsultationBooking Vet: - Any -Booking Notes: Grazed paw padHistory: O noticed little wound on digit on LHL a week ago Has been licking at it and seems to have gotten worse No lamenessHas otherwise been well No V+/D+No other concerns Examination: BAR Eyes, ears, nose NAD Abdo palp soft and comfortable LHL - digit 2: swelling and erythema, discharge on surface of skin On firm palpation purulent discharging from small draining tracts Tolerating palpation wellTemp 38.2 C Assessment: Abscess on digit 2 LHL Treatment: Amoxyclav BID PO as per label E collar on at all times Plan: Recheck in a week INB/sooner if becomes worse    Vital Signs    Weight: 8.0;       Temperature: 38.2;       

Appointment Notes: Paws App Details:Booking Type: ConsultationBooking Vet: - Any -Booking Notes: Anal gland review Owner Name: Erin GavenlockOwner Email: Erin.gavenlock1@yahoo.com.auOwner Mobile Number: 0401177976Pet Name: BunjiPet Species: DogPet Insured: YesWeb BookingClient name: GavenlockContact number: 0401177976Email address: Erin.gavenlock1@yahoo.com.auPatient name: BunjiHistory: Seems to be going well at homeDoesnt seem as irritatedExamination: BAREars, eyes, nose okLNN NADSkin NADLungs clearPulses strong and regularAbdominal palpation NAD. ComfortableRectal exam - anal glands moderately full. Normal liquid (what i would expect in a normal dog). Subjectively nurses thought maybe less foul smelling. Still a bit fishy.Assessment: Suspect that apoquel working well for anal sacculitis/allergiesPlan: Continue apoquel 3.6mg PO SID ongoing (for at least next 6 months)Only needs to come in for anal gland expression if patient showing symptoms of irritation.Authorise to dispense apoquel OTC until the end of August    Vital Signs