C10032825 / invoice 10000

Reason: Walk In, Dog Fight, Cut On Back Left LegHistory:  Owner has been deployed in Navy since late last year and Ellie is living with Bron and her two dogs. Ellie gets very agitated with the other dogs. All playing today and Ellie attacked Ruth. This time Ruth snapped backEXAMINATION:Mentation - BARBCS -  4/9Temp - 38.9Cardiovascular: HR=PR= 124; Heart sounds- no murmur auscultated; rhythm normal - , mm pink, CRT 1-2 seconds.  Pulses strong with no deficits, synchronousRespiratory: Breath sounds -  normal over thorax; No upper respiratory sounds ; respiratory effort normal. No nasal dischargeNeurological: Gait normal; Placing normal all limbs. Gag, facial symmetry, facial sensation, palpebral, aural sensation all normal. Menace normal.  PLR direct and indirect normal. Musculoskeletal: Well muscled with good symmetry. Cervical manipulation normal, thoracolumbar manipulation comfortable;  flat and long bones palpate normally. Does not tolerate left stifle examination. Other joints palpate normally. No lameness noted. Gastrointestinal: - Oral: Oral mucosa - no lesions noted.  No petechiation or abrasions noted, minimal periodontal disease- Abdominal: Palpation - no masses noted, comfortable- Rectal: not performedUrinary: Bladder soft and comfortable. Reproductive (incl ext genitalia): Neutered dogIntegument: Good haircoat, no ectoparasites detected. Small graze over right eye, not full thicknessLymph Nodes: NAD peripherallyEyes: No ocular discharge; corneas {__} ; lenses {__} ; Direct retinal exam not performedEars: No otitisPROBLEM LIST WITH DIFFERENTIAL DIAGNOSIS:{__}ASSESSMENT :{__}TREATMENT PLAN:{__}"Owner Communication:Resuscitation Code:Estimate for first 12 hrs:Ongoing estimate /12hrs:Treatment: Plan:Subjective: Objective: Assessment: Plan:    Vital Signs    Weight: 20;       Temperature: 38.9;       HeartRate: 120;