C10029235 / invoice 10000

Subjective:History: Buzo presented for a sore paw. The owner reported a blister appeared on Monday (10/03/2026), which they popped yesterday. The dog was limping from Monday to Wednesday, but the lameness resolved after the blister ruptured. The initial injury was reportedly a splinter that "burrowed in". The owner is concerned about cancer. The dog stays mostly outdoors, with access to a playground area. The owner was away for a month prior to the issue arising.- Clinical signs/progression: Interdigital blister, ruptured, previously lame.- Significant history: Primarily an outdoor dog. Possible penetrating splinter injury.- Current medications: None.- Appetite & diet: Appetite and water intake are normal. No vomiting or diarrhoea. Recently switched to a diet of diced beef. Fasted this morning.Objective:Vital Signs:- Blood Pressure: Not mentioned.- Heart Rate: Not mentioned.- Respiratory Rate: Not mentioned.- Temperature: Not mentioned.Demeanour: Bright and alert.Examination Findings:- Eyes: Not mentioned.- Ears: Not mentioned.- Oral: Not mentioned.- Nose: Not mentioned.- Peripheral lymph nodes: Not mentioned.- Cardiovascular: Not mentioned.- Respiratory, breathing: Not mentioned.- Urinary/Genital: Not mentioned.- Skin: Erythematous and raw lesion on the dorsal interdigital webbing of one paw.- Abdomen: Not mentioned.- Rectal examination: Not mentioned.- Neurological: Not mentioned.- Musculoskeletal: Painful on palpation of the affected paw. Historical lameness reported by owner, not present on examination.- BCS: Overweight.- Hydration: Not mentioned.- Other Findings: Significant weight gain noted; current weight 18 kg, previously 14 kg.Problem List:1. Suspected foreign body with secondary abscess/cellulitis in interdigital space.2. Overweight.Assessment:A 3-year-old desexed male dog presenting with a ruptured interdigital abscess. The history and clinical signs are highly suspicious for a penetrating foreign body, such as a grass seed. Differential diagnoses include deep pyoderma or, less likely, neoplasia. The patient is also overweight.Plan:Treatment Plan:- Admit for general anaesthesia (GA) today for surgical exploration of the paw.- Procedure to include clipping, cleaning, flushing, and exploring the wound tract for a foreign body.- Collect samples (FNA or biopsy) if any abnormal tissue is identified.- Peri-operative care includes IV catheter, IV fluids (Lactated Ringer's Solution), and injectable antibiotics, anti-inflammatories, and analgesia.- Place a post-operative bandage.- Perform complimentary nail trim under GA.- Dispense oral antibiotics, anti-inflammatories, and analgesics to commence tomorrow.Progress Notes:- Patient admitted for GA and paw exploration.Client Communications:- Discussed conservative medical management versus GA with exploration.- Owner consented to proceed with GA and exploration today.- Discussed high likelihood of a foreign body. Addressed owner's cancer concerns, noting it is a low probability.- Explained prognosis is good if a foreign body is retrieved.- Advised owner of expected post-anaesthetic drowsiness.- Organised discharge for 5:00 pm today, with a post-procedure phone update.Allergies:- No known allergies.Additional:- Prognosis: Good, pending findings of surgical exploration.- Treatment declinations: Owner declined the option of conservative medical management.Surgical Report **Patient:** Buzo**Species:** Canine**Age/Sex:** 3-year-old desexed male**Procedure:** Interdigital foreign body exploration and removal (suspected grass seed)**Date of Procedure:** 13/03/2026---### Pre-operative DiagnosisSuspected penetrating foreign body (grass seed/splinter) with secondary interdigital abscess and cellulitis.### Post-operative DiagnosisInterdigital abscess associated with penetrating foreign body (consistent with grass seed tract).---### AnaesthesiaBuzo was admitted and placed under **general anaesthesia**. An **intravenous catheter** was placed and **IV fluids (Lactated Ringer’s Solution)** were administered throughout the procedure. Injectable **analgesia, anti-inflammatory medication, and antibiotics** were administered peri-operatively.---### Surgical ProcedureThe affected paw was **clipped and aseptically prepared**. A draining tract and erythematous lesion were identified in the **interdigital webbing**.Blunt exploration of the wound tract was performed. A **penetrating foreign body consistent with a grass seed** was identified within the soft tissues of the interdigital space and carefully removed.The tract and surrounding tissues were **thoroughly flushed with sterile saline** to remove debris and reduce bacterial contamination. The tissue was inspected for any remaining foreign material. No additional foreign bodies were identified.The wound was left to heal via **drainage and secondary intention**, which is standard for contaminated puncture wounds. A **protective paw bandage** was applied.A **complimentary nail trim** was performed while the patient remained under anaesthesia.---### Findings* Interdigital abscess and draining tract present* Penetrating foreign body consistent with **grass seed** identified and removed* Surrounding soft tissue inflammation and cellulitis noted---### Post-operative CareBuzo recovered uneventfully from general anaesthesia.The following medications were dispensed for home care:1.Amoxicillin-clavulanate (antibiotic)** to treat bacterial infection2. Meloxicam (anti-inflammatory/analgesic)** for pain controlA **protective bandage and Elizabethan collar** were provided to prevent wound contamination and self-trauma.---### Prognosis**Good**, provided the foreign body has been completely removed and the wound is appropriately managed during healing.A **post-operative recheck** was scheduled to monitor healing and bandage management.    Vital Signs    MMColour: Pink;       HeartRate: 118;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Abnormal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       Temperature: 38;       BodyScore: 5;       CRT: 1-2;