C09979358 / invoice 10000

Reason: AHC, Not Putting Full Pressure On Leg, InjuredAppointment Notes: Can't walk for long periods, started a week ago. khSubjective and History: Routine vaccination. Doing well, no health problems reported. Bright, alert and responsive. Eating, drinking, defaecating and urinating normally.Lame RHL suddenly one day about 1.5 weeks ago. Does tend to run out the back door fast and run around to the front of the house when owners leave each time.Worried she has hurt herself doing this.Initially quite lame, now much improved and running again but still occasionally holding it upPhysical Exam: Mm pinkTeeth: moderate calculus, mild gingivitis.Couldn't check heart today, growlingThen placed muzzle. Gave vaccinations, and felt spine and hindlimbsGrowling a lot throughout exam so couldn't ascertain whether painful anywhere. No carnial drawer or tibial thrust. Growled the most on right hip extensionGaiting: lame 1/5 RHLAssessment: HealthyFine to proceed with vaccinationDdx: partial ccl rupture, hip sprain, other soft tissue or orthopaedic injury Treatment: Routine vaccination. Plan: Discuss routine health care.Carprofen 50mg: 1 q24h Vacc c3 + bb/pi inj + lepto 2 annualRest x 2 weeks. Ini or lameness returns recommend xrays under Ga, hips/lumbar spine/ stifles./ whole leg    Vital Signs    

Reason: CytopointAppointment Notes: Special payment terms exist, Overdue remindersBR> O didnt notice any rashes or red skin, just itching. Given in reception with O. Was wiggly and moved while giving the injection, might have to ask O to hold her tight. Likes treats before the inj and lickimat after.    Vital Signs    Weight: 22.2;       

Reason: Written Repeat Script For Zakten Anti Anxiety MedsAppointment Notes: Special payment terms exist, Overdue remindersDrug Name:		Fluoxetine 20mg	Quantity:			56 tabletsInstructions:		Give 1.5 tablets ONCE daily. Do not stop suddenly.Repeats: 			 3    Vital Signs