C09979751 / invoice 10000

Reason: ArthritisAppointment Notes: Overdue remindersHistory: O conerned - renal disease? Diet: Preventatives Not UTDVaccinations; Not UTDExamination: Demeanour: NervousTemp 38.0Oral exam MM pink & Moist NADDental Score   4/4 /gingivitis,  calculus, resents examinationEyes clear: No redness or sorenessEars: hairy no erythemaPLN submandibular, prescapular and popliteal LN NADHeart - 160 no murmur or arrhythmia auscultatedLungs - - clear bronchovesicular sounds, normal effortAbdo: comfortable on palp, no masses or abnormalities.Integ: coat in good condition, no skin lesions or parasites seen MSK: - hindlimb weakness, stands with hocks low behindNo obvious pain on flexion of limbs front limbs, elbows thickened, ROM seems equal in front legs, Left hindlimb clicksU/G:  NADNeuro: normal mentation, full neurological exam not performed Rectal:  not performedAssessment: Arthritis Treatment: 0.2ml Synvan SCConsent has been given by the client to proceed with this treatment  -  Yes Plan:1. 3rd synovan injection next week 0.2ml SC2. Printed estimate for dental scale and polish with external blood tests3. Gave HPPs leaflet, consider HPPConsent has been given by the client to proceed with this treatment  -  Yes/No--- 24/02/2026 10:22:23 AM KB8:Examinations - Resolved -    Vital Signs    Weight: 6.5;       Temperature: 38;