C10015883 / invoice 10000

History: The cat has injured the RHL. Owners have noticed some blood. Examination: QAREyes/ears:NSFTeeth/mouth: mild plaques depositsChest: NADAbdomen:NSFUrogenital:NSFDigestive:NSFLymph nodes:NSFSkin: 3rd toe of the RHL has an injury. The nail is hanging. There a laceration in the nail bed exposing the underlying bones. The paw pad is also damagedLocomotion: not Nervous System: not assessedAssessment:Trauma to the RHL causing damage to the 3rd toe and the 3rd paw padBloods taken to send off to the labPre-Medication: acepromazine 0.07ml methadone 0.07m given IM IR @ 11.10amInduction: Induction with alfaxalone 0.7ml given IV IR Maintained on isoflurane 2.5%-3% and oxygen 1.4L/minCleaned the area and incised edges to facilitate proper apposition of the skin. Removed the damaged paw pad completely. Skin sutures applied using PDM 3-0 (simple interrupted)Uneventful anaesthetic and recoveryMoxylan injection 0.38ml given s/c following procedureMetacoxx oral one syringe (0.38ml) orally given following food in hospitalMetacoxx oral x 4 syringes to go home withEcollar placed on head 12.5cm following procedureLight bandage placedPOC and bandage removal on Fri or Sat - must be inside for 10 daysSuture removal after 14 daysVet: IRNurse: ASGBilled: AO    Vital Signs    Weight: 3.8;       MMColour: pink;       HeartRate: 172;       BodyScore: 5/9;       CRT: <2;