C09974276 / invoice 10000

Reason: Hindlimb RadiographsAppointment Notes: Overdue remindersHistory: Buddy presented for repeat X-rays of back legs due to ongoing left leg lamenessLameness remains unchanged - no improvement or deteriorationCurrently receiving Meloxicam for anti-inflammatory management, last dose given 9pm with dinnerNo adverse reactions to current medicationAlso taking routine canine vital supplementsLast meal 9pmNo known allergiesEating, drinking, toileting normallyUp to date with parasite prevention and vaccinationsNo previous anaesthetic or sedation complicationsPre-anaesthetic blood testing declined as performed previously for initial X-raysConsent obtained for anaesthesia, emergency treatment if required, and use of clinic food if neededInsurance claim to be processedEstimate provided at $620Examination: BAR euhydrate muzzled as a precaution, good for exam away from owner EENT: nad Oral: nad clear no malocclusions no deciduous dentition Thoracic ausc: clear no murmur no arrhythmia synch femoral pulses Abdo palp: nad comfy no hernias Integument: nad clear no lesions, full coat coverage Msk: gait nad mil swelling L stifle slightly tense on manipulation LNs: nad wnl Urogenital: Laboratory: Declined Treatment: Sedation - Methadone 0.3mg/kg + Dexmedetomidine 8ug/kg IM. Mild sedation. Dexmedetomidine 2ug/kg + ACP 0.02mg/kg IM. Moderate sedation 22G catheter placed in R cephalic Alfaxan slow IV to effect total used = 1.2mL. Maintained on mask oxygen Anaesthetic complications: NIL XRAYS L&R lateral stile, VD hips Mild tissue opactiy within both stifles R worse than L Exam under sedationSlight cranial draw both L&R stifle. More swelling in L stifle Antipam 0.15ml IM Assessment: Possible partial cruciate tear in L stifle but no sigificant instability compare to right Plan:6 weeks of rest and meloxicam vs surgeon appointment    Vital Signs    Weight: 9.8;