C10032089 / invoice 10000

Nurse:Any concerns the owner has / presenting problem and duration: Right front lameness noticed after waking in yesterday. Started yesterday after a walk. Not crying, allows touching of the area. Still playing with toys and son.History: Previously suffered from yeast infection across whole body including paws. Managed with shampoo and diet. Chicken proteins were affecting her, now on fish protein diet only which has cleared the yeast issues. Had scabby lesions on paws previously.Previously presented for similar issue: Yes - yeast skin issuesDiet: Sensitive diet, fish protein only dry foodParasite control:UTDVacc history: Vaccinated 3 months agoCurrent medications:Vomiting / diarrhoea:Defecation:Urination:Eating/drinking:Exam:Mentation BAREyes - clear, cornea all appears WNL, no tear stainingEars - clear, not excessively red or swollen, normal amount of wax, no excessive debrisNose - clear, no dischargeOral - DS mm pink and moist CRT<2s, Grade 2-3 PDDsThyroid palpation - all palpates normalLymph nodes - all WNLCardiac:NADRespiratory: BV clear bilateral Abdo - soft and pliableGenitourinary clearMSK - comfortable with extension and flexion of right front leg, minor traumatic injury to right paw Matacarpal  pad with redness, quite painful on palpationNeuro - clearIntegument - no masses palpableTempBCS 3/5Weight: 18.4 kilograms (gained 400 grams since last visit)Assessment:1. Right front paw pad injury - suspected foreign body (glass) vs minor traumatic injury2. Overweight - ongoing monitoring requiredPlan:- Anti-inflammatory medication (oral)- Antibiotic tablets- Rest - crate or cage recommended-Wipes to clean paw pad- No topical treatment to be applied due to antibiotic use- Vaccination deferred - maternal antibodies still present for next 3 months, immune system should not be challenged with current infectionINI X ray and explore the wound under GA (1000-1500)Revisit require: Yes - if not improving within 3-5 days for sedated exploration of paw pad under anaesthesia.    Vital Signs    Weight: 18.4;