C10023989 / invoice 10000

Reason: Swollen Face Appointment Notes: Overdue remindersHistory: Was outside today. Client arrived home and Rocket came back with a swollen upper R lip.Acute and has not been noticed prior to this evening.Examination: Mm pinkUpper R lip swollen area approx 2cm x 1cm. Small irritated red mark centrally.Crt <2secsNo marked gum recession or tooth root exposure No ocular dischargeNo nasal dischargeAssessment: Poss allergic reaction to bite,sting etc, possible but not obvious abscess, less likely but unknown if snakes in area.Treatment: Niramine injection 0.25ml imAssessment: Reasonable improvement in swelling reduction.Comfortable relaxed demeanour.Chest nsfMm pinkPlan:TGH with short course of antihistamine to continue.Recheck if any development of V , D, lethargy, inappetance ataxia etc.Treatment: Iramine 4mg tablets: 1 bid po    Vital Signs    Weight: 4.9;