C09975591 / invoice 10000

Reason: Check Up, Bloods And Synovan - See Notes - COMeloxicom daily, rose hip vital, synovan monthlyChem11O ha reduced caloric intake, has cut down, working on wl .38.8kgEDDU normally, BAR. Nil vomiting, diarrhoea, coughing, sneezing.GAP ONLY HISTORYFirst clinical signs - ongoing management of OA, blood check prev ALT elevation, painful paw Summary -  as aboveDiagnosis -  synovan for OA, chem11 for general skin, prev ALT elevaiton, pregablin to assist with painful RFL paw (OA flare up, soft tissue injury vs new injury) Treatment -  monthly synovan, trial pregablin for pain management, await bloods    Vital Signs    Weight: 38.8;