C10011820 / invoice 10000

Appointment Notes: VETSTORIA - Loaf (Dog) - Ethan-Wade Knight - 0422217552 - Consultation [Clinician : Dr Maddie Beikoff(No Preference)] - One side of anal glands seems to be impacted or infected, unable to express through normal means, needs to be reviewed by professional  - Web BookingClient name: Ethan-Wade KnightContact number: 0422217552Email address: ethanwadeknight@gmail.comPatient name: Loaf HISTORY:Owner having been expressed AGs at home regularly and adding in cooked pumpkin to diet after AG abscess ~ 2 months ago. Last week O's noticed R AG was fuller and harder to express, and has now burst and ruptured through the skin. Still irritated by his ears and rubbing them on the ground, but no discharge. O using epiotic and antifungal shampoo regularly. Otherwise EDDU well no VDCS no other concerns PHYSICAL EXAM: Demeanour: BARVitals: WNL CVS: regular rhythm, no murmur, SSFP.RESP: normal respiratory effort, clear bronchovesicular sounds; no crackles or wheezes.ORAL: NAD OCULAR: NADEARS: no discharge but mild erythema and pruritis bilaterally ABDO: soft and comfortable to palpate.LNs: peripheral LN WNL.INTEG: coat clean, no visible ectoparasites.GAIT: ambulating well, no lameness observed.UROGEN: NADRECTAL: L AG NAD, R AG 3cmx3cm, large and too painful to express, burst through skin and draining tract with blood and purulent discharge ASSESSMENT: Recurrent AG impaction and secondary abscess Ear irritation, no sign of infection. TREATMENT:Unable to clean or express AGs today Responded well to last treatment - Meloxicam 0.1mg/kg SID PO 3-5 days Amoxyclav 100mg BID PO 7 days Ears - continue cleaning with epiotic, add in HCA spray as needed to control itch PLAN: RV in 5 days to check progress, INI then C&S of AG fluid    Vital Signs    MMColour: Pink;       RespirationRate: 26;       HeartRate: 120;       Temperature: 38.2;       BodyScore: 5;       CRT: 1-2;