C10030954 / invoice 10000

Reason: Agitated, Twitching And Licking At PawsAppointment Notes: Overdue remindersHistory:Recent episodes of  front paw biting (pruritus?) on two occasions approximately one week ago. Monthly preventives missedParsley is very agitated and very anxious, but also tends to be very anxious during vet visitsHad history of paracetamol poisoning  which was treated hereObjective:- General demeanour: Very anxious and agitated, constantly moving around, panting- Cardiovascular: within normal limits- Respiratory: Panting, pink mucous membranes- Integument: Good hydration status with moist mucous membranes- Musculoskeletal: Brief unsteady gait noted at approximately 4:00 PM, though walking normally during examination. Mild reaction on left leg palpation but not repeatable- Gait: Walking normally, no limping observed, following commands appropriatelyAssessment:Acute onset paw licking and biting behaviour in anxious patient. No obvious foreign body or irritation identified on examination.Plan:Given 0.8 ml Butorphanol SC- Continue monitoring at home- Return within 24 hours if symptoms recur for further assessment- Video recording of any future episodes of licking or biting behaviour for assessment- No anti-anxiety medication prescribed as anxiety appears situationalClient communication:Discussed that examination revealed no obvious cause for the paw licking behaviour. Explained monitoring plan and advised to return if symptoms recur within 24 hours. Owner declined anti-anxiety medication as behaviour appears related to veterinary visit rather than generalised anxiety. Advised to document any future episodes with video recording.    Vital Signs    Weight: 37.5;       MMColour: pink;       HeartRate: 100;       BodyScore: 7/9;       DentalGrade: 1/5;       RespirationRate: 200;       PainScore: 0/4;       CRT: 1-2 s;