C10029534 / invoice 10000

Reason: DFWHISTORY:  This morning she was attacked by another dog (Staffordshire Bull Terrier) on her walk.EDUD normally otherwise, no VDCS. Last meal 5pm Thursday.  Access to Toxins:  none knownVaccination:  UTDParasite Prophylaxis:  nexgard spectra q1mth Pre-existing Conditions:  noneCurrent Meds:  noneEXAMINATION:  Weight: 19.7kg         BCS: 5 / 9  Hydration Status (%): euhydrated         Pain Scale (0-4):  1 / 4 T: -          HR: 144bpm         RR: pant          MM: pink moist          CRT: < 2s       Cardiovascular: no murmurs or arrhythmias audible, SSFP Respiratory: normal respiratory effort, no nasal discharges, normal BV sounds bilaterally on thoracic auscultation  Neurological: mentation = QAR, appropriate mentationMusculoskeletal: ambulating x4 with Grade III/VI (mild weight-bearing lameness) on right thoracic limb, complete assessment not tolerated Oral: dental score: C1G0  Abdominal: no pain on abdominal palpation, no palpable tympany or fluid wave, normal gut sounds  Rectal: not performed Urinary: NSF Reproductive (incl ext genitalia): NSF Integument/Ears: wound on medial aspect of right thoracic limb with mild hemorrhage (did not tolerate wound clipping without chemical restraint) Lymph Nodes: peripheral lymph nodes unremarkable on palpation  Eyes: no blepharospasm / chemosis / epiphora / anisocoria / nystagmus / strabismus   PROBLEM LIST: wound on medial aspect of right thoracic limb with mild hemorrhage Grade III/VI (mild weight-bearing lameness) on right thoracic limbDIAGNOSTICS: NilASSESSMENT: Dog Bite Wound TREATMENT:Methadone 0.3mg/kg IM once @0700 PLAN: Primary care vets transfer for wound management under chemical restraint.    Vital Signs    Weight: 19.7;