C10019933 / invoice 10000

Reason: LimpingAppointment Notes: Booked Online: 12/03/2026 06:38:40 AMBooking Type: UnwellBooking Notes: Limping/hopping on one back leg. Damage done at doggie daycare on Wednesday and no improvement overnight. Owner Name: Kirby CowlesOwner Email: kirbylarsen530@hotmail.comOwner Mobile Number: 0448459863Pet Name: PeanutPet Species: DogWeb BookingClient name: CowlesContact number: 0448459863Email address: kirbylarsen530@hotmail.comPatient name: PeanutHistory:Lameness started acutely after playing at doggy daycare yesterday. Currently non-weight bearing on right hind leg. No collisions noted during play. Quiet and less enthusiastic than normal but no whining or yelping. E/D OK.Examination:Eyes: appear normal - ophthalmoscopy not done.Ears: appear normal - otoscopy not done i.e. no significant exudate from canals, no inflammation seen, no bad odour noted, pinnae normal.Peripheral Lymph Nodes: NAD/WNLChest Auscultation: Heart sounds normal, rate normal (120), no abnormal arrhythmia.Lungs sound normal, normal respiratory pattern.Musculoskeletal: Non-weight bearing right hind leg. Significant cranial drawer movement right stifle. Rest of limb appears normal - no obvious abnormalities affecting toes, hock joint, hip joint or long bones. Normal gait otherwise.Skin/Coat: Normal coat, no alopecia or other skin lesions.Assessment:Torn ACL right stifle. Full tear based on significant cranial drawer movement. Common injury in dogs. Surgical intervention recommended for best long-term outcome. Without surgery, accelerated arthritis and chronic pain likely due to joint instability.Treatment:Metacam 32ml oral suspension - 24kg dose once daily with foodGabapentin 600mg tablets x14 - one tablet BIDPlan:Surgical referral to JCU or NQC for ACL repair. Will contact both facilities for pricing and availability. Restrict activity until surgery - particularly careful with stairs and jumping.    Vital Signs    Weight: 23.6;       BodyScore: 4.5/9;       

Reason: Recheck W JohnHISTORY:Follow-up consultation for infected paw. Owner reports significant improvement since starting antibiotics two days ago. Condition responding well to treatment. Owner will complete full antibiotic course as prescribed. RFL 3rd digit, medial aspectEXAMINATION:Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painUrinary: NSFReproductive: NSFIntegument/Ears: RFL 3rd digit medial aspect - no erythema, swelling, heat, discharge or pain on palpationEyes: NSFDemeanour/Behaviour: a little timidPROBLEM LIST:Infected toe - right foot, medial aspect third digit - resolving wellASSESSMENT:Follow-up for infected toe on right foot medial aspect of third digit. Excellent response to antibiotic therapy with complete resolution of clinical signs. No redness, discharge, pus or swelling present. Healing progressing very well.TREATMENT:Continue current antibiotics until completion on 29th-30thPLAN:Monitor for recurrence after antibiotic course completionReturn if signs recur after finishing antibioticsSurgical exploration or extended antibiotic course may be required if condition returnsCLIENT COMMUNICATION:Discussed excellent progress with current treatment. Advised to complete full antibiotic course. Instructed to monitor for recurrence after antibiotics finished. Explained that if condition returns, reassessment will be needed and may require surgical exploration or longer antibiotic treatment depending on severity of recurrence.--- 28/01/2026 12:11:14 PM LGN:Examinations - Resolved - Txt sent    Vital Signs    Weight: 23.5;       

Reason: Sore Foot, Red IrritatedAppointment Notes: ------- Sms reply: YHistory:Skin allergies since April last year with 'massive welts', possibly from seed pods O says. RF interdig foot swelling started last week - first time foot affected. Previous antibiotic treatment months ago (September/October). Cytopoint injection 1/52 ago - worked immediately but wore off within 1-2 days. Currently on medicated biscuits as recommended by vet. Medicated baths at Dogtopia w malaseb - previously every 2/7 when severe, now twice per week. Last medicated bath last Thursday using Malaseb shampoo. Not a scratcher or licker typically. Presents with red bumps resembling severe acne rather than itching. Was licking affected foot and struggling to put weight on it initially.Examination:Eyes: appear normal - ophthalmoscopy not doneEars: appear normal - otoscopy not doneChest Auscultation: Heart sounds normal, rate 124 normal, no abnormal arrhythmia.Lungs sound normal, normal respiratory patternMusculoskeletal: Normal gaitSkin/Coat: Firm pink swelling 12 x 10 mmx 2 mm medial aspect third digit RF with small amount serosanguineous fluid from small hole when squeezed. Small puncture hole lateral aspect right carpus. Mild to moderate erythema groin, ventral abdomen, ventral thorax, axilla with mild papular rash. Full coat, no alopecia. Weight 24kg.Laboratory and Other Diagnostics:Microscopy of fluid from foot lesion - RBcs++++, neuts++, eosinoph+, rare cocci >ie inflammation with bacteria presentAssessment:Interdigital infection secondary to either penetrating wound (thorn) with secondary infection or continuation of existing skin condition with folliculitis. Wet backyard conditions contributing to skin softening and increased infection risk. Possible short coated breed folliculitis given lack of typical itching symptoms. may be genetic predisposition depending on breed ancestry genetics.Treatment:Metacam 2.5mg tablets x5 - 1 tablet daily with foodCephalexin 1000mg tablets x10 - half tablet BID with foodWarned owner cephalexin can cause nausea - contact if vomiting occurs for alternative antibiotic (moxifloxacin)Plan:Continue Malaseb baths 2/52 for 2/52, then reduce to 1/52 for maintenanceRecheck in 7-9/7 while still on antibioticsContact King's Vet for previous history recordsMonitor for development of itching symptoms as matures--- 20/01/2026 09:12:05 AM LGN:Examinations - Resolved - Txt sent    Vital Signs    Weight: 24;       MMColour: P;       BodyScore: 5/9;