C10022840 / invoice 10000

REASON: recheck skin +/- get vx UTD
Nurse: SP
Presented by: Tracey
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SUBJECTIVE / HISTORY: 
LH paw has improved
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CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
Pred 5mg 1/2 tablet SID
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OBJECTIVE / EXAM:
ASA Status (1-5): {__}
BCS (1-9): {__}
DS (0-4): 2-3

T: -
P: 120
R: n

APPEARANCE/DEMEANOUR: BAR
SKIN & COAT: LH paw back to normal on plantar aspect
EARS: n
EYES: n
ORAL: Gingivitis over 205-6, widespread tartar on teeth
MM: Pink, moist
CVS: Normal rhythm
RESP: Lungs clear
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n

n : Normal     - : Not Examined
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ASSESSMENT: 
Problems:
{__}

Ddxi:
{__}

Further Procedure & Diagnostic Needs [Client Response]:
Estimate G2-3 Dental COHAT (d) due to finance, will try pre-approval through insurance

Medication:
KC + C3 vx (x)

Ongoing medication prescriptions? Renewed prescriptions: {__}
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
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PLAN / CE: 
Rem 12m vacc & hc.
Finalised by {__}
Rec = Recall     Rev = Revisit     Rem = Reminder

REASON: Sore paw
Nurse: SP
Presented by: Tracey
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HOME CARE AND PREVENTIONS
Vaccinations: KC + C3 vx due now
Nutrition: Prime 100 Loaf + Veg
Worming: Nexgard Spectra
Hwp: Nexgard Spectra
Flea Treatment: Nexgard Spectra
CE: 
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SUBJECTIVE / HISTORY: 
started limping a bit after running around the dog park
O couldnt see anything in her paw  
LH paw inflammed, wouldnt stop licking
no blood/ pus noted from paws
 
was fine yesterday, O think she may have done sth at the dog park 
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CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
nil 
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OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 6
DS (0-4): - 

T: -
P: 120
R: n

APPEARANCE/DEMEANOUR: BAR, lovely 
SKIN & COAT: erythematous all paw pads. LH paw worst.
no swelling/ heat/ discharge noted on palpation
no mass felt 

cytology of LH and RH paw: no infectious agent noted
few 

EARS: n
EYES: n
ORAL: - 
MM: Pink, moist
CVS: Normal rhythm
RESP: Lungs clear
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n
n : Normal     - : Not Examined
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ASSESSMENT: 
Problems:
erythematous paw pad

Ddxi:
pododermatitis - allergies 
infection (unlikely)

Further Procedure & Diagnostic Needs [Client Response]:
cytology [x] 

Medication:
Pred 5mg 1/2 tablet SID (x)

Ongoing medication prescriptions? Renewed prescriptions: - 
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
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PLAN / CE: 
Rev 1 week recheck skin +/- get vx UTD
Finalised by jf. 
Rec = Recall     Rev = Revisit     Rem = Reminder

OVERDUE REMINDER PHONE CALL
LAM with O regarding their overdue reminder for C3 + hc