C10019956 / invoice 10000

Reason: PainAppointment Notes: Paws App Details:Booking Type: Consult - Complex Booking Vet: - Any -Booking Notes: Reluctance to move/ walk Slower in gait, Seems in pain. Owner Name: Madeline And Aiden ReesOwner Email: Maddy.bp@outlook.comOwner Mobile Number: 0413138081Pet Name: LokiPet Species: DogPet Gender: MalePet Desexed: NoWeb BookingClient name: ReesContact number: 0413138081Email address: Maddy.bp@outlook.comPatient name: LokiReason: Seemed unsettled through yeserday afternoon and this morning, History: difficulty settling and stiff h/l gaitEddu all normalNo v/dWas rough play with other dog - fairly normal but only potential for likely traumaParasite Prevention : nexgard spectra is utdExamination: Pet BAR, gait fairly normal in consult, no neuro defecits or weaknessNo pain response on manipulation but suspect lumbar pain via pelvic dip tensingChest ausc normal and abdo soft and relaxedAssessment:  Suspect lumbar painPlan: Discussed analgesia / rest and see how goes vs straight into diagnostics now - bloods / sedate / radsTreatment: Owner elected to run with analgesia and rest then go to diagnostics if not improving or recurrs when analgesia withdrawnMetacam injn then 3 days of oral - last dose sunday then continue rest for 48 hrsResee if worried at any stageO knows I am at GHM tomorrow if worried - for continuity of carePlan:    Vital Signs    Weight: 11.2;       

Original Vet : Emma Richard-------------------- Fees Charged: --------------------FIDOS TOPIZOLE 250ML Shampoo Qty: 1 - $35.00    Vital Signs    

Original Vet : Locum Vet Reason: R/c after AES visit for mild vomiting, diarr and retching (see hx) - responded to prevomax well - no more vomiting, stools improved bt today mild diarr and borborygami.Eating and drinking well - on chicken and rice.V bright and active.RR 24, HR 96, hydr good, pink mm, temp 38.4.Abdom palp NAD - v lean.O keen for referral and possible work-up to get to the bottom of the recurrent eps - wants to go to QVS - referral emailed.Disp prokolin for temp relief.Disp pyohex lotion for use on facial folds when inflamed.-------------------- Fees Charged: --------------------  Consultation Progress Qty: 1 - $69.00Pro-Kolin Probiotic Paste 30ml Qty: 1 - $38.80PYOHEX COND 100ML Qty: 1 - $16.50    Vital Signs