C10013391 / invoice 10000

History:  had some D+ insdie recently. - V unusual for him. had normalised again. Then licking at anal area last 2 days. sometimes a little jelly at the end of the poos. no issues passing stools. diet: home cooked, - chicken or a red meat, rice, oats and veges. noise phobic ( thunderstorms etc) - Exam:  Wt ok, but lower than has been historically. L AG inflammed, about 3cm diam, painfuyl. > can get some discharge out of the gland though - not obv bloody. R side ok, normal contents. Otherwise exam ok other than, mild/mod tartar upper caudals and low end bdy conditon. Diagnosis: L AG infection/inflammation> less likely anything more sisister. Treatment: recommend VNG group suppWill get hx from lost dogs re hx etc. very brief discussion about anxiety today. Amoxyclav 375mg BID 10 days. Metacam 24kg dose ONCE daily. Plan: recheck in 10 - 14perhaps can have a discussion about behav more then - did mention the poss of basline bloodwork and fluoxetine. R/V:

History: Arnold has been comfortable with his bottom, no licking or scootingRight hind foot is looking a little better than last week, has been licking a littleGenerally not itchy elsewhere. Has had seasonal itch in the warmer months before, but not itchy in general at the momentExam: L anal gland: skin appears to have healed, looks clean and dry, L gland palpates normally, no swelling or fluid accumulation palpable. Right hind foot: dorsal toes appear to have hypotrichosis (self trauma / licking) and erythema. ID skin between digits 3 and 4 erythematous, ventral ID skin looks ok. Other feet look okSkin on cartilaginous folds on the medial aspect of the pinnae is erythematous. Ear canals look clean, no erythemaMarble sized SC mass L auxillae. FNA: clear fatty material. Cytology: adipocytes = consistent with lipomaDiagnosis: L anal gland abscess appears to have resolvedRight hind foot: localised dermatitis and self trauma dorsal aspect of toes and digit 3-4 ID spaceLocalised dermatitis medial pinnae (on cartilage folds)Lipoma L auxillaeTreatment: Elocon lotion for topical treatment of dermatitis right hind foot and medial pinnae: SID 7 daysPlan: Monitor lipoma L auxilla and consider excision if it seems to be enlarging. RV if any further concerns with anal glands or skin

History: Left anal gland playing up againPresented with a ruptured L anal gland Dec 2024, treated with antibiotics and NSAIDs, seemed to resolve okBut presented with a burst L anal gland abscess again 3 days ago, discharging a clearish / bloody fluid form the L anal gland area on Friday nightOtherwise ok in himselfNoticed a self-traumatised R hind foot and red auxillae during the consult, o reports intermittent skin problems which have presumed to be a grass allergy. Previously treated at Frank Samways, but not recently Exam: Sinus opening in the L perineal / perianal skin ventrolateral to the anus in the area of the L anal gland. Expressed a clear yellow then bloody fluid, then expressed more purulent and bloody fluid from the sinus opening. Flushed through with saline, instilled 1ml Panapex ointment into the abscess. Right anal gland expressed a moderate amount of dark brown pasty anal gland material Right hind foot digits 3 and 4: erythema, hair loss (self trauma), dry skinBoth auxillae also look quite red, licking and scratching during consultDiagnosis: Presume ruptured anal gland abscess, L side. But cant rule out other cystic lesion or abscess (cyst, FB, tumour, other)Suspect may have seasonal skin allergiesTreatment: Flushed and expressed L anal gland abscess, instilled 1ml Panapex into the abscess cavityAmoxyclav 500mg BID 10 daysMetacam (o has at home) 28kg dose SID with foodPlan: Recheck anal gland at the end of the antibiotics next week, if not resolved or if this is a recurrent issue in the future >> sedation and lance / flush / drainHave booked an extended consult for next week, so we can also due a full skin consult re feet and auxillae. R/V: