C09971081 / invoice 10000

Reason: 3rd Cartrophen Inj. EFAppointment Notes: Overdue remindersHistory: O reports going wellHere today for 3rd cartrophen injExamination: Ambulating well in waiting roomAssessment: Fit for injTreatment: Consent has been given by the client to proceed with this treatment  -  Yes0.13ml cartrophen given s/c Plan:RV 1 week for final cartrophen inj with vet SK    Vital Signs    Weight: 4.2;       

Reason: Recheck + Arthritis InjectionAppointment Notes: tv  ------- Sms reply: YHistory: Less active latelyMore active since cartrophenMore enthusiastic on walksO used neocort for 3 days and licking stoppedOccasionally licks at it so O puts neocort onDoesn't seem to be licking foot anymoreOccasionally licks wristsDiet not going wellO gives in to 'puppy dog eyes'Examination: Cardiovascular: Heart rate & rhythm regular, no cardiac murmur detected, pulse SSRespiratory: Normal bronchovesicular sounds bilaterally, no adventitious sounds detectedLymphatics: Superficial LNs normal in size & consistency upon palpationOral: grade 1 dental diseaseEyes: Bilaterally clear, some tear staining, no other abnormalities (no corneal ulceration or trauma noted - no fluorescein stain performed)Ears: Bilaterally clear, no discharge, odour or other abnormalitiesIntegument: Skin and coat clear, saliva staining on LFLGlT: No pain on abdominal palpationUrogenital: No abnormalities detected externallyNeurological: Mentation BAR, no abnormalities, complete exam not performedMusculoskeletal: bilateral luxating patellasLaboratory: Assessment: FFTTreatment: Cartrophen 0.13ml scConsent has been given by the client to proceed with this treatment  -  YesPlan:Due for cartrophen in 1 wkDiscussed importance of sticking to strict diet--- 17/02/2026 08:59:35 AM FLE:Examinations - Resolved - Message sent. EF    Vital Signs    Weight: 4.2;       

Reason: Itchy SK(Assisted by: Alex)History & Problems: Licking her front L pawO also worried about her gut healthIs currently not on anythingCan be a very fussy eaterO offers veggies and she turns them downO also struggling with weight management for herDDU fineSeems to drink a lotNo vomit but very rare loose poo (not diarrhoea)HPP Status: yesVaccinations: UTDHeartworm: UTD, nexgard spectraWorming: UTDFlea prev: UTDCurrent diet: does get human food from male owner. Adult dry food (ad lib) + raw beef (from Petbarn) + chicken cooked.Current meds: noneExamination: Mentation: BARBCS: 7/9Oral Conformation / Exam: mild tartarEars: NSFEyes: NSFCardioresp: Possible gd 1/6 murmur GI: abdo comfySkin: mild erythema between central pads and digits on LFL. Marked saliva staining. Mild matting of fur in this area.Lymph nodes: WNLMusculoskeletal: ambulatory, bilat luxating patellas 2/4Neuro: no obvious deficitsBehaviour: anxiousLaboratory: nil todayAssessment: uncertain of inciting cause but self trauma perpetuating licking. Overweight. Mild dental disease. Suspect luxating patella progressing, possible early OA beginning.Treatment: Starting cartrophen course inj SCDispensed neocortClipped hair between digits on LFLConsent has been given by the client to proceed with this treatment  -  YesPlan: Cartrophen inj in 1 weekO will use sock to cover paw and prevent lickingO to start measuring food specifically. Stopping human food. Discussed how likely not picky but clever and holding out for food as currently will be offered a variety of things if not eating.Recheck weight each week. Then monthly after cartrophen course.--- 10/02/2026 08:38:29 AM FLE:Examinations - Resolved - follow up SMS sent    Vital Signs    Weight: 4.1;