C10029062 / invoice 10000

Appointment Notes: Paws App Details:Booking Type: ConsultationBooking Notes: Diva has two bite type mounds between her toes on each foot. One after the other a couple of days apart. They looked like they were going away but now look big and angry and not sure what they are. Pet Does your pet have more than two health concerns you'd like to discuss, or is this a complex case?: No - we'll be discussing 1-2 standard concernsHistory:Small skin lesions/bumps between digit 3 &4 both front pawsNoticed a few days ago, initially just one paw now bothIs licking at them, not lame Lots of bugs and critters in the yardRuns around a lot + plays with other dogWorming/Heartworm/Flea control status: utdVaccination status: utdExamination:BAR, lovely dogCOAT/SKIN: approx 8-10mm nodules dorsally between digit 3-4 both FLs, R side leaking some pus- took sample for slide from this EYES/EARS: nad- had surgery recently, eyes look goodMOUTH/TEETH: class III malocclusion, good dentitionHEART: HR 96 no murmursLUNGS: clear nad ABDOMEN/DIGESTIVE/URINARY: comfortableCNS/MUSCULOSKELETAL: normal ambulationPERIPHERAL LYMPH NODES: submandibular wnlWEIGHT/DIET: Body Condition Score: 6/9 REPRODUCTIVE: nadAssessment:Nodules between toes + pus ddx interdigital cysts - infection v allergy v FB Laboratory:  Cytology = neutrophils , mixed bacteria (cocci and rods) Plan:Short pred course Rilexine 450mg BID 14 days Clean with diluted betadine 1:10 with water dailyRv 2 weeksMay need biopsy or surgical exploration if not resolving    Vital Signs    Weight: 22;