C10030459 / invoice 10000

Reason: Bandage Change & RebandageAppointment Notes: Paws App Details:Booking Type: Unwell Pet - Multiple Concerns or Serious Illness $185Booking Notes: ski cut her tail and we had to take her to the emergency vet tonight (Tuesday).  her bandage will need to be removed and rebandaged.  she is also licking her right front paw.History:Clinical signs/progression: EVA vet on Tues, bleeding puncture wound on tail. Prescribed antibiotics and calming meds. O hasnt been giving the calming meds as doesnt think needs.Has also been bothered by RF paw, licking at.EDUF okSig hx: allergies, occasional cytopoint settles thisCurrent meds: antibiotics BID, no antiinflamms Objective:Vital signs recorded to LEFT columnTemperament: BAROphtho: NADOtic: NADOral: mm pink, mild plaque, yellow discolouration teethNose: NADCV, pulses: NAD Resp/Chest:  NADAbdo palp: NADNeuro: NADMusculoskel: NADInteg: - RF paw outer interdigital space between digits 4-5 palmar firm focal swelling present. Erythema this paw.- Bandage in place. Removed. Puncture wound scabbed over, no notable surrounding erythema or swelling, no active dischargeTreatment: Replaced bandage - melolin with hypafix. Then 1 layer soffban, vetrap, elastoplastAssessment: Tail healing well, not ready for no bandage yet.Paw - inflamm vs scarring previous GS etc vs lumpPlan: Cytopoint todayRecheck Mon or Tues, booked for 17th, remove bandage, most likely replace vs if looking good lighter dressing.Neocort for paw. If not resolved consider FNA    Vital Signs    Weight: 28.2;