C10031449 / invoice 10000

DOG nwb front paw

Yesterday housemate said NWB 4pm 
Had gabapentin and trazodone before appt and last night (400mg)  trazoodne 150 mg 
Bushwalking every day 
Just came inside like that - no known trrauma, fall, accident 
Other dog plays - not rough 
EDUD wnl no v/d 

O located small interdigital grass seed 
Coast trip today 

Medication: 
FLuoxetine 30 mg SID PO 
No other supplements: 
No special diet. 

EXAM: 
BAR, sedate
NWM LFL - grass seed removed dorsal aspect D2-3 LFL and undersite abscess (3 mm round) lanced with no grass seed retrieved 

PLAN: 
1. meloxicam SID PO
2. bathe diluted betadine 1:10 water BID
3 E collar

RECHECK: 
Sedate and explore +/- imaging INI

Poss Eaten Antipsychotic meds (quetiapine)

BAR on arrival
mm pink moist 
HR 160
Abd comfortable 

clinically normal 
recommend inducing emesis 

Apomorphine .07mg/kg sc 
 
 vomitus contains no evidence foil blister pacs 
Plumbs reference recommed intravenous lipid immulsion therapy in cases overdose  not responding to supportive care 
no symptoms of intoxication were noted at home or on exam. 

1.8ml cerenia sc 

symptoms to monitor dogs for 
Vomiting
Diarrhea
Restlessness
Agitation
Seizures
Fever
Tremors
Sensitivity to sounds/noises
Depression
Dilated pupils
Vocalization
Blindness
Excessive salivation
Difficulty breathing
Difficulty walking
Disorientation
Coma
Death (rare)