C10030671 / invoice 10000

Reason: Cut On Nose Appointment Notes: Not dripping blood.History:Was going for a walk yesterday- Was a dog underneath a fence and zeke went up to him- Was bit on the nose from another dog- Was bleeding a bit initiallyEDUD: NADNo vomiting or diarrhoeaNo coughing or sneezingDiet: Change of kibbleAppetite - fussyDrinking wellOccasional diarrhoeaDefaecation – mostly normal - 70% normal, 30% runnyCough/sneezing - occasional sneezesOther pets - noBathing/shampoo - sensitive skin, Gets groomedPrarsite prevention: Nexgard Spectra, not fully up-to-dateCurrent or previous medications: noExamination:  1. Demeanour: BAR  2. Heart: no heart murmur  3. Lungs: NAD  4. Eyes: 2.7.25: Left eye - normal PLR, menace, dazzle, palpebral. Red sclera and mildly red conjunctiva. Slight hairloss around eye. No swelling. No obvious discharge but dry crusts around eye.  5. Ears: NAD  6. Nose: Ventral left nasal planum; 1cm laceration along the ventral internal border, skin surrounding wound is bare; eythematous and painful on palpation  7. Oral Cavity:   8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: NAD  12. Rectal: Not performed  13. Genital: NAD  14. Skin and Coat: NAD  15. Musculoskeletal/Gait: 6.6.24: LEFT HINDLEG: Grade 1/4 lameness, mild swelling mid radius/ulna   16. Nervous System: NAD  17. Behaviour: goodNAD = no abnormalities detectedAssessment: Greencross Vets Coreen Avenue: 20.4.22: C7 vaccination 20.5.22: C4 + C2i vaccination 30.6.22: Castration 4.7.22: Diarrhoea post castrate. Trt: I/D diet, prokolin 15.5.23: C5 vaccination Limping on LHL for a month ddx: hip dysplasia vs cruciate ligament tear vs soft tissue injury- Carprofen 22.5.23: Recheck- will limp after long walks. Assessment: OHVH06.06.2024: Left hindleg lame, trial metacam course; if limping persists, seek further diagnostics13.5.25: C7 vaccination. Itching - monitor2.7.25: C2i booster, Eye check - maxidex14.3.26: Dog fight wound on nose; treat with metacam and noroclavPlan: 1. Yearly C7 vaccination due 13.5.26.2. If not using regular heartworm prevention, we advise a heartworm test before starting regular prevention $80.3. Three monthly intestinal worming - Drontal4. Monthly flea control 5. Tick control - Monthly Nexgard or 3 monthly Bravecto. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.6. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.7. Microchip:- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.- Microchip registration - Register online before 6 months of age at www.petregistry.nsw.gov.au.8. Lameness on left leg:- Strict rest until better- Pain relief - Metacam: Give TWO tablets ONCE a day for 7 days. STOP IF VOMITING OR DIARRHOEA- Recheck if not improved, more pain relief or radiographs may be required.9. Dog fight wound- Strict rest for at least 1-2 weeks- No bathing or swimming for 10 days.- Bathe the wounds with salty water as required, mix 1/4 teaspoon of salt in 1 glass of warm water.- Monitor for further wounds, bruising or swelling, recheck if concerned.- Finish the course of oral antibiotics, 14 x Noroclav Tabs 500Mg , Give ONE tablet TWICE a day for 7 days.- Pain relief - Metacam dog oral, Give 38kg dose ONCE a day with food. Stop using if any vomiting, diarrhoea or inappetance occurs, as gastric ulceration may occur.- Keep the collar on the head until the wounds heal.- Return for bandage change/removal in 3-5 days, $32.50- The wound may not respond to the medication, it may break open, or it may require surgery. Recheck if not improved $75.- For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.- Monitor the breathing pattern, recheck if the breathing appears laboured.- Monitor for signs of internal bleeding: pale mucous membranes, weakness, lethargy.- Monitor the urination and defecation habits, recheck if blood is seen or if there is no urination.- Recheck if not improved, radiographs, blood tests, specialist ultrasound, surgery, or further medications may be required.10. Consider Pet Insurance for your pet.11. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.12. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.13. Check out our digital Pet Passport. This FREE app will help you manage your pets vaccination and healthcare records from your mobile phone. It can also assist you with reminders for medications, vaccinations and parasite control. The Pet Passport App can be downloaded for FREE from the Apple Application store (iPhone) or Google Play (android). Scan the QR code from our website to link your details to Orchard Hills Veterinary Hospital.    Vital Signs    Weight: 37.9;       MMColour: Pink;       RespirationRate: 24;       HeartRate: 120;       Temperature: 38.4;       BodyScore: 5;       DentalGrade: 0;       CRT: < 2 sec;       

Reason: Check Left Eye & C2i BoosterAppointment Notes: happy to see anyoneHistory:Presented for eye check and booster vaccinationWas at boarding for training for 1 month and when back had gunk in L eyeFirst noticed on Friday last week. Has got a bit better since thenDischarge - yellow dischargeUnsure of painful but keeps scratching at itDiet: Hills sensitive skinAppetite - fussyDrinking wellOccasional diarrhoeaDefaecation – mostly normal - 70% normal, 30% runnyCough/sneezing - occasional sneezesOther pets - noBathing/shampoo - sensitive skin, Gets groomedPrarsite prevention: Nexgard Spectra, not fully up-to-dateCurrent or previous medications: noExamination:  1. Demeanour: BAR  2. Heart: no heart murmur  3. Lungs: NAD  4. Eyes: 2.7.25: Left eye - normal PLR, menace, dazzle, palpebral. Red sclera and mildly red conjunctiva. Slight hairloss around eye. No swelling. No obvious discharge but dry crusts around eye.Laboratory: Test: Schirmer Tear Test in both eyesResults: Left eye- 15 mm/minRight eye 15 mm/minAssessment: Normal tear productionAnaesthesia: LocalApplied 1 drop of Alcaine to left eyeProbed behind third eyelid, no foreign bodies located.Laboratory: Test: Fluret (Fluoroscein) in both eyesResults: NO stain uptakeAssessment: no corneal ulcer  5. Ears: NAD  6. Nose: NAD  7. Oral Cavity:   8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: NAD  12. Rectal: Not performed  13. Genital: NAD  14. Skin and Coat: NAD  15. Musculoskeletal/Gait: 6.6.24: LEFT HINDLEG: Grade 1/4 lameness, mild swelling mid radius/ulna   16. Nervous System: NAD  17. Behaviour: goodNAD = no abnormalities detectedAssessment:- No corneal ulcer or dry eye. Likely conjunctivitis.Vaccinations: Protech C2i - Coronavirus and LeptospirosisClient Communication: - recommended using viscotears for eye lubrication esp as STT was at low end of normalAssessment: Greencross Vets Coreen Avenue: 20.4.22: C7 vaccination 20.5.22: C4 + C2i vaccination 30.6.22: Castration 4.7.22: Diarrhoea post castrate. Trt: I/D diet, prokolin 15.5.23: C5 vaccination Limping on LHL for a month ddx: hip dysplasia vs cruciate ligament tear vs soft tissue injury- Carprofen 22.5.23: Recheck- will limp after long walks. Assessment: OHVH06.06.2024: Left hindleg lame, trial metacam course; if limping persists, seek further diagnostics13.5.25: C7 vaccination. Itching - monitor2.7.25: C2i booster, Eye check - maxidexPlan: 1. Yearly C7 vaccination due 13.5.26.2. If not using regular heartworm prevention, we advise a heartworm test before starting regular prevention $80.3. Three monthly intestinal worming - Drontal4. Monthly flea control 5. Tick control - Monthly Nexgard or 3 monthly Bravecto. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.6. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.7. Microchip:- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.- Microchip registration - Register online before 6 months of age at www.petregistry.nsw.gov.au.8. Lameness on left leg:- Strict rest until better- Pain relief - Metacam: Give TWO tablets ONCE a day for 7 days. STOP IF VOMITING OR DIARRHOEA- Recheck if not improved, more pain relief or radiographs may be required.8. Consider Pet Insurance for your pet.9. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.10. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.11. Check out our digital Pet Passport. This FREE app will help you manage your pets vaccination and healthcare records from your mobile phone. It can also assist you with reminders for medications, vaccinations and parasite control. The Pet Passport App can be downloaded for FREE from the Apple Application store (iPhone) or Google Play (android). Scan the QR code from our website to link your details to Orchard Hills Veterinary Hospital.12. Conjunctivitis:- Bathe the left eye with salty water as required, mix 1/4 teaspoon of salt in 1 glass of warm water.- Eye drops - Maxidex (dexamethasone) eye drops - Apply 1 drop in the left eye 2-4 times a day, for 7 days.- Recheck if concerned (especially if the eye is cloudy, red, closed, or painful).--- 05/07/2025 09:46:34 MC:Treatment - Resolved - Recall: done by - initial: MC Any problems medicating Zeke? no What dose of medication is being used for Zeke? i.e. how many tablets/mls and how often. Confirm this is the correct prescribed dose. yes confirmed dose Any other problems with Zeke? no - doing well    Vital Signs    Weight: 34.76;       MMColour: Pink;       HeartRate: 100;       Temperature: 38.6;       BodyScore: 5;       DentalGrade: 0;       CRT: < 2 sec;       

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