C09984008 / invoice 10000

Verified: YESHISTORYPresenting for: Annual vaccination. No reactions in the past. UTD parasite control.Historical Conditions: Previous RH avulsion injury to the lateral head of gastrocnemius and severe muscle fibre disruption of the medial head. Treated at GAR with primary repair of gastrocnemius and protection with calcaneotibial screw.O reports was a long recovery with confinement and splinting.Diet: Eating and drinking normally. No c/s/v/d.Current Meds: None.O reports dog is stiff on previously mentioned limb - wondering if there is a supplement that may help.O has no further concerns.EXAMBAR, good boyMM pink + moist, CRT <2sG1 DDEENT NADLNs NADCardiac + respiratory auscultation NADAbdomen soft and comfortableMSK Reluctant to extend RH - some guardingInteg NADAfebrileASSESSMENTPotential OA secondary to tarsal injuryFit for vaccinationPLANNew Meds/Tx:- 4cyte Epitalis Forte liquid 1.5ml once daily.- Vaccinated KCAdditional Discussion:- Discussed Pentosan injections as alternative option (administered every 1-3 months) but client preferred oral supplement19/12 NCB no answer mc

S: call AmandaArlo not going well, gait abnormality has now increased - not putting paw down normally?Will refer to GARS - CT on the cardsBW sent radiographs and hx to GARS

Email to GARSTo Surgery Team,Good morning,I have 'Arlo' Jerinic a 5 yo MN border collie. He presented acutely 3-4/5 lame in the right hind mid December. Anti inflammatories were trialled but only minimal rest achieved.He re presented last week for radiographs. He is still at least 3/5 lame.Under GA we could not appreciated any stifle laxity or tibial thrust, his hip rom seemed wnl. I thought his fabella area seemed untidy and is patella seemed odd on the DV. Some mild crepitus in stifle. I could not luxate his patella readily under GA. He can be a little nervous with exam and I have not been able to definitivelylocate where he is sore.His owner feels that he is getting sorer over the last week and his limp was more pronounced after exam under GA. I believe he is insured.Regards,Angela HarrisGARSHi Angela,Did you note any pain or discomfort around the back of the stifle or on extension of the stifle - I wonder if there is some thickening of the soft tissue of the gastroc and a small boney opacity at the level of the stifle that may indicated a muscle trauma.The stifle and common calcaneal look clean.I would consider further imaging of the stifle (CT or MRI) to assess for possible soft tissue trauma.Let me know what you thinkBen