C09977795 / invoice 10000

Reason: Limping For A Week FRLAppointment Notes: gbHistory: O has noted Basil favoruing RFL for the last 2 weeks, more pronounced after vigorous exercise. Will chase the ball/sticks. Runs along the beach. O has reduced vigorous exercise in the last week but he is still going on walks. Not chewing/licking along limb at all. No v/c/d noted. Sensitive to chicken - will develop loose stools Examine: BAR PLR ok MM pink, crt 1sec HR 100 reg, chest ausc NAD Abdo soft and comfortable Head bob whilst walking, lane RFL G2/6, full weight bearing Digits ok, nails in tact No pain elicited on flexion/extension elbows/shoulder/carpus Neck extension/flexion ok BCS 5/9 Assessment: G2/6 lame RFL ddx; soft tissue injury vs boney change (elbow dysplasia/other) Plan: STRICT rest 14 daysMeloxicam 0.1mg/kg PO SID, stop use if v+/d+/reduced appetite Recheck after 14 days if lameness not resolved for sedare + x-rays both FL / neck    Vital Signs    Weight: 15.6;       

Reason: C4 PuppyAppointment Notes: LTHistory: no further respir issues. . Other dog in house hold does not want anything to do with him .They still have have their own separate areas .Up to date with tick preventionExamine: BAR1.Weight 11.5kg2.Eyes clear - mild tear staining OS medial canthus(seen in white coat) 3.Ears clean4.Oral cavity scissor bite puppy dentition5.Heart*4 HR=PR=116bpm regular no murmur omm pink crt<2 sec6.AbdoGIT full abdomen 7.Integument no hernias less facial folds8.Urogenital testicles both scrotal9.Peripheral nodes normal size10.Musculoskeletal grossly normal11.Neuro grossly normal12.Temp 38.213.Respir eupnoea Nares reasonable.Quiet breathing Assessment: fit for vaccination Treatment: 1.Vaccination Protech C4 SQ    Vital Signs    Weight: 11.5;       

Reason: C5 PuppyAppointment Notes: LTHistory: still  on oral antibiotics for possible aspiration pneumonia. Doign well. Other dog in house hold does not want anything to do with him .They have their own separate areas .Up to date iwth tick preventionExamine: BAR1.Weight 8.8kg2.Eyes clear - mild tear staining OS medical canthus(seen in white coat) 3.Ears clean4.Oral cavity scissor bite puppy dentition5.Heart*4 HR=PR=116bpm regular no murmur omm pink crt<2 sec6.AbdoGIT full abdomen 7.Integument no hernias less facial folds8.Urogenital testicles both scrotal9.Peripheral nodes normal size10.Musculoskeletal grossly normal11.Neuro grossly normal12.Temp 38.013.Respir eupnoea Nares reasonableAssessment: fit for vaccination Treatment: 1.Vaccination Protech C4 SQ and protech BB oral Plan: 1.Booster 2-4 weeks    Vital Signs    Weight: 8.8;