C09979737 / invoice 10000

Appointment Notes: Admit for GA X-rays - discuss VD Hip X-rayAdmit time: 8amEstimate?:  receivedProcedure Q's? nonePre/post op text received? Any Q's? no questionsSigns of illness? noneFasting reminder: Food 5pm & Water 7amNurse initials: DSAppointment Notes: Admit for GA X-rays - discuss VD Hip X-ray, to be doneO reports that there has been less limping on metacam, still very activeProcedure: Radiographs under GAPremedication Sedation: Acepromazine 0.8mls SC, Methadone 0.9mls SC @0815Induction: Alfaxan 8mls drawn given slow IV titrated to effect.  Total needed 8mlIntubated with 9.5mm ET tube. Maintenance: Alfaxan to effectManipulation: no reduced ROM and no crepitus, no pain response while awakeRadiographs: Elbows/carpus: -	Exposure: 40/4Hips:Exposure 80/8-	Collimation:-	Artefacts: nil-	Findings: nil orthopaedic  conditions observed, growth plates still not fused but is only 8m old, hips show approp depth socket and head appropriate shape, no wear and tear, will await further assesment by VSSAssessment: good exposure rads showing joints in appropriate positionsDiagnosis: no evidence of UAP, FMCP, OCD or medial congruencyPlan:1. send rads to VSS for free assessment2. continue rest while awaiting independent assessment by VSSClient communication:    Vital Signs    MMColour: Pink;       HeartRate: 120;       Weight: 31;       BodyScore: 5;       CRT: 1-2;