C10025829 / invoice 10000

Reason: Infected Dew Claw - See In BetweenAppointment Notes: Special payment terms exist, Overdue remindersHistory: Took bandage this afternoon and very smellHad reapplied a 2nd bandage at home Didnt like walking on it when bandagedDan says has not been licking at paw since removed bandage and seems more comfortable revious C and S for Kevin's skin infections had multiple organisms (1 cocci and 2 bacilli), and the cocci had been sensitive to clavulox Clinical Signs: Wt bearing on limb fineLaboratory: Cytology of moist interdigital skin shows scant cocci only, no rods Treatment: Add clonidine at normal dose (give from 150 to 600, advise start at 300) BID for 5 daysContinue clav BID to prevent 2ndary infecitonBathe twice daily for 2 days in chlorhex 1%, then daily for 3 daysPlan: If not getting MUCH better, recheckIf pruritic and self trauma becomes issue, consider addition of short trt apoquel or dex injection    Vital Signs    Weight: 25.2;