C09978034 / invoice 10000

Thursday night yelped in pain when jumped off low couch. A couple more incidents that night of increasing severity. O went to ARH, no injuries located, presumptive IVDD. Sent home with meloxicam, gabapentin, fentanyl patch and was given methadone in clinic and seemed to improve.Similar episode at christmas and intermittently since.~6 times sinceHas been moderately comfortable with meds on board. Gabapentin 100mg BID and meloxicam SID.Less interested in food. No v or d, seemed to struggle to toilet yesterday.Exam:BAR timid, shaking, HR 132bpm nad, RR pant nad, MM p/m/2s,LN nad, abdo tense but no splinting, T 38.5EENO nadMSK: no lameness on walk, all limbs nad, no proprioceptive deficits, no pain on palpation of spine. Full ROM in neck in all directions.Fentanyl patch taped on R tarsusDDx spinal pain (OA vs IVDD) vs intra-abdominal pain (pancreatitis?)Plan:Admit for spinal xrays tomorrow. Continue on paid medication for now.If xray is not diagnostic consider bloods and/or CT.Fentanyl patch removed.

if gets worse - progresses to paralysis, then needs to go to ARH for CTmetacam ok to disp

O is going away after xmasEating etc normallyRandomly yelped about 6 times or so over last weekYesterday yelped when he was just walking normallyStill not eating schmackos normally since dental Still jumping on things etcO:HR100, no murmurs, mm pink, crt <2Lungs clarAbdo comfyEars/eyes/nose: nsfDental: minimal tartar, no inflammation or masses presentMSK: no neck pain, no spinal pain, patellas and stifles ok, rest of joints ok, no pain responseA:Suspect pinched nerve or muscular spasmP:rest and monitor at homeIf worsens while they are on holiday ok to give metacam - O already has someThen recheck when they get back for poss xrays