C10021117 / invoice 10000

Appointment Notes: O adv bone or cartilage sticking out of her foot for a few days, wont stop licking - LBHx:On propertyNo skin issues previously O noticed a bleeding lump a few days ago, Delta has been licking constantly. Applying filtabac.Otherwise fine, energy normal, playing normally, no lameness.Exam:Vitals wNLRH 4th toe dorsally there is a wound with raised edges over P1-P2, no bone involvement, no cellulitis evident.Does not appear like a FBAssessment:Suspect main problem is self trauma post wound or insect bite.Plan:E collar - 25cm to avoid her getting foot around. Use for at least 3 daysNeocort BID for up to 2 weeks    Vital Signs    Weight: 21.5;       

Appointment Notes: vacc - sh   ------- Sms reply: Great, thanks!Hx:No concerns. No recent illness. Nexgard Spectra.EDUD normallyExam:Nervous, did on tableEENT ok - some tartar starting to build upH&L clearAbdomen NADOverweight - needs to lose a few kgsC7 given SC    Vital Signs    Weight: 20.1;       

H: c5 + leptois on monthly hw and flea and tickcheck agsno other problemsE: grade 1-2 dental diseasehr 100 - very anxiousabdo tensecoat lovelystifles nadags nadA: ok to vacT; c4 + bsi + leptoP: boost in 12 months    Vital Signs