C10011902 / invoice 10000

Urine Dipstick WNLUSG 1.035STO- normal urine- no issues there.O reports is doing well at home- foot has healed well.

History:- Presented with a sore, ulcerated, and infected lesion on a paw. Onset this morning. Licking at it incessantly.- Eating and drinking normally. Owner reports increased water intake and panting over the last couple of days, possibly related to warmer weather. No reported increase in urination.- No known current medications.Physical Examination:- Demeanour: Bright and alert.- R fore- between digits 3-4. An ulcerated, infected lesion was noted on one paw. The area was clipped and cleaned.- Vital signs: Heart sounds are normal, no murmur or arrhythmia. Heart rate is low. Pulses are strong. Chest sounds clear on auscultation.- General: Coat is thick. Appears slightly overweight.- Weight bearing normally.Assessment & Plan:1. Infected Paw Lesion- interdigital- Impression: Infected wound.- Differential diagnosis: Foreign body.- Investigations planned: If no improvement, sedation for further examination and possible X-ray may be required.- Clinician's recommendations, education and counselling for issue 1.: Advised to use an Elizabethan collar (cone) to prevent licking.- Treatment planned for Issue 1:- Amoxiclav: one tablet twice a day with food until the course is finished.- Steroid (prednisolone): one tablet twice a day for three days, then one tablet once a day for three days, then one tablet every second day.2. Polydipsia and Panting- Impression: Likely related to heat, thick coat, and being slightly overweight. Pain or stress response also possible contributing factors. Heart and lung disease less likely given examination findings. Kidney disease less likely at this stage as not associated with polyuria.- Investigations planned: If increased drinking and panting persists, collect a urine sample for analysis. A blood test may be required depending on urine results.- Clinician's recommendations, education and counselling for issue 2.: Provided with a urine collection cup. Discussed that panting can be a sign of pain, stress, or a method of cooling down.Key Takeaways:- Administer Amoxiclav and steroid medication as prescribed.- Prevent licking the paw lesion, use a cone if necessary.- Monitor for improvement in the paw.- Monitor for continued excessive drinking or panting.Next Steps:- Recheck if the paw is not improving.- Collect and drop off a urine sample if excessive drinking persists.

O wants some pain relief to have on hand if seems uncomfortablehas been doing well but seemed unsettled last night and panadol didnt seem to helpWill dispense some meloxicam to haveIf concerned recommend a recheck