C09980912 / invoice 10000

Reason:  Limping
History: 
- still not running, barks for ball BUT not keen to run
- prev dx with cruciate disease at vet24
- mom gives a rubdown every day after walks - lately LH has been pulling away


- otherwise - EDUD all noramlly
- has been scooting a bit

Current medications: 
- antinol plus - started about 3 weeks ago. Not seen any significant difference

Examine: 
Mentation: BAR
Body condition score:  3/5
MM:      pink, moist          CRT:  1 sec
HR:   140             RR:  WNL
LN: NAD
Temperature:  ne

Ocular: 
Oral/Dental stage:
Ears: 
Cardiovascular: no murmur or arrhythmia
Respiratory: 
Gastrointestinal: 
Integumentary & lumps (measurement, location):
Musculoskeletal: 
- bilaterally stiff hips and stifle extension
Urogenital: 
Neurological: 

Problem List:
1. Arthrityis pain


Assessment: 

Treatment: 

Plan: 

On-going medications required: Y/N (use prescription tab for further supply):

Followup: 

Reason: Vaccination
History: 
 - O dogsitting - Loki - Dickens gets a little jealous
- Dicksn has been a little sore in HL - lost his Joie de Vivre and not running at the park

EDUF: all noramlly
V#/ D#/ Coughing?  none

Current medications:
- o still has script for Gaba - seeming to go better
- none regular

What Preventative health cover is being used and do you need to purchase any today?  monthly UTD
Worming:
Flea control:
Heartworm Prevention:
(TWP discussed: Yes/No)

Examine: 
Mentation: BAR
BCS (0-5):        3/5
MM:         pink, moist         CRT: 1 sec
HR:        140          RR: WNL
Dental Stage: 1/4
Temperature: 38.6
Gastrointestinal:  tense on abdo palp
Integumentary & lumps (measurement, location):
Musculoskeletal:
- bilateral resistance on hip extension bilaterally, no overt pain, no swelling/long bone pain, otherwise WNL

Any additional findings:

Assessment: FIT for vacc
** Discussed pain relief and REST for 5 days - INI, radiographs for HL. Carp script on file overt next 14 days if O wanting to trial

Treatment: C5 due

Vaccination given: DHPP SQ scap (BN  2524002), BB PO (BN 2524002)
Annual vaccination needed: Canine cough due Jan 2027, Jan 2028; C5 due Jan 2029