C09973757 / invoice 10000

Reason: Admit For LH XraysSedation: Butorphanol 0.3mg/kg, Medetomidine 15ug/kg IM Great effect Topped up with Alfax 1ml throughoutL lateral and AP views of the L stifleFrog leg, straight leg and lateral pelvic views- No effusion of stifle joint - No DJD evident - Good Acetabular coverage of the L hip, although one view slightly off straight Ortho exam:No laxity of the stifle - no cranial draw or tibial thrust Patellas stableGot PP to examine as well, not convinced torn CrCL -> partial possible vs meniscial etc But QUICK return from lameness less convincingRecc Meloxicam and strict rest 10 days, then gradual return to exerciseNext steps MRI ?    Vital Signs    Weight: 27.2;       

Reason: Admit For LH XraysO on a walk just now, was running and suddenly LH lamenessIs toe touching Similar thing happened a few weeks ago, and last year - same leg Rested and NSAIDs and resolvedBut concerned recurrenceWorried about CrCL diseaseEDUF+ etc Otherwise fine in self BAR, mm pink moist crt <2s. Ln wnl. Thoracic ausc nad. Abdo palp nad. T not assessed. LH - toe touching lameness intermittent, normally weight bearing. No stifle effusion. Resents the LH extension at stifle wrt RH. No crepitus. Possibly some medial buttressing. No cranial draw but strong muscular dog. Ddx: CrCL partial vs full rupture vs OTHER Plan:Admit for rads tomorrowEst $550-600    Vital Signs