C10031399 / invoice 10000

Appointment Notes: check toeHistory: Bilateral yeast infection picked up at vaccine 14d ago.RF D21 wk of limping - improved then worsenedredlicking a lot1205/9cleanRFL D2 diffusely swollen, saliva stained fur, D3 mildlty saliva stained. nail bed > purulent exudate + erythema + oedema - swab cytology: rods +++, cocci ++, neutrophils 38.3Nail bed infectionimmune mediatedallergiesneoplasia 2 wks radiographs dermatophytesbathing with pyohex SID225 for swab c+s Subjective: EDDU normally, No V+ or d+Hx of similar presentation 3-4 months ago, resolved with previous TxO reports lameness noted last night, now spreading to 2nd toe, no wincing, still active and happyStill eating and drinking wellObjective: BAR HR/PR/Cardio: pulse normal and synchronous, CV normal, no audible murmur Temp: ne MM/CRT/Hydration: pink, moist CRT 1 sec, hydration normal RESP/RR: NAD normal rate and effort GIT/UG: NAD comfortable Skin/Ears: NAD - left first digit markedly swollen, crusty interdigital tissue, second digit swelling notedM/S: NAD - left forelimb lameness Eyes: NAD Dental: clean Lymph Nodes: wnl BCS: 5/9Assessment: Recurrent left digital infection - differential diagnoses include foreign body (grass seed), allergy with secondary infection, osteomyelitis, neoplasiaTreatment: Swab collected from affected digit for culture and sensitivityAntimulatory pain relief 1 tablet BID for 1 weekPlan: Culture results pending (2-3 days, may be delayed over weekend)Booked for GA and X-rays left foot Monday 15/03/2026 8AM, admit morning, discharge afternoonRecheck post-imaging to discuss results and further Tx optionsConsider extended antibiotic course (2-4 weeks) pending results    Vital Signs    Weight: 24.5;