C10020161 / invoice 10000

HISTORY: 12 Mar 2026 11:06:31 am SEW



LH Digit 5 nail bed infection

Presented for: licking paws, but esp LH. No lameness. 10d ago, walked over hot coals.
Bright & Responsive, EDDU

Diet: Hills kibble medium breed + raw
Vacc: >1yr
HWP:Int worming:Fleas/ ticks: NGS mnthly
meds: none
Reg Vet: MRVH

PE:
BCS  4/9  18KG
T 38.3
Cardiovascular and Respiratory system: Thoracic auscultn :NAD    HR =PR= 60            Respiratory Rate: 30  Clear breath sounds         Effort:  normal           mm pink, moist      Capillary refill time 1-2s
Neurological System incl Eyes: Normal mentation and gait
Gastro intestinal system: Dental score:  G0, T 1/4: mild dental dis: O' aware          rectal digital examination: not performed                abd palp: No abnormalities detected  soft, comfortable
Integumentary system: paronychia digit 5 LH mild to moderate
Urogenital System: No abnormalities detected 
Musculoskeletal System: Normal gait weight bearing evenly
Reticulo-endothelial, incl liver, spleen: No abnormalities detected 

Clindamycin 11mg/kg 150mg 1.25 po sdq8d, R/x
metacxam 2.5mg 0.75 po sdq4d
salt water bathes sd 1 level tsp salt: 300ml water

WEIGHT: 20.50
HISTORY: 08 Mar 2025 07:15:49 pm KA
hx
- was home alone bw 10am - 4pm today
- O found 3x vomits in the house when got home
- had another vomit since home
- didn't eat dinner, bit lethargic
- no D, had solid poo this evening
- desexed
- not a scavenger, doesn't chew foreign objects (except chews up toilet rolls), no missing toys.

DIET: raw food and hills dry, table scraps/people food.  nothing different recently


ex
- QAR
- sclera white
- mm pink/tacky, crt<2
- hr92, nma, FPss
- panting, normal LS/effort
- abdo: soft/comf, no obv mass or distensions
- T39.2c
- normal skin turgor, healthy coat
- normal gait

A: acute vomiting. gums slightly tacky, slightly elev Temp

Ddx: dietary indiscretion, gastritis, vs FBO vs metabolic dis

Options: 
1. GIT workup: start with bloods, then abdo radiographs
2. maropitant trial (O elected this)

Tx
- prevomax 2ml sq

P: revisit if ongoing symptoms
bland diet

NOTES: 25 Jan 2024 07:41:25 am TXB

Willow presents to the R for eating all the chicken: O left chicken nibbles with bones (cooked) on the bench, she ate it all. So much, probably 500 grams
Ate 1 hour ago
Has been well recently. no V or D
EDDU WNL

No other health concerns

PE 
Bright & Responsive
HR 110, no arrythmias/murmers
MMs pink, Capillary refill time 1-2
ABDO WNL
nodes WNL
Temp WNL

TX: Emesis induced (apomorphine trans mucosal)
V lots of cooked chicken, tried to eat it again, 
Reversed with metoclopramide. 

O to continnue monitorin at home.