C09984495 / invoice 10000

Reason: RecheckAppointment Notes: Overdue remindersHistory:Presented for beransa and cartrophen injectionOtherwise EDDU and BARGait worsening. Struggling with mobility - getting up and moving around.Improvement with injectionsNot on any concurrent pain reliefDue 6m GHC todayExamination: BARHR 80, NMAMSK: stiff gait, struggles to position HLs in underneating him. Dropped hindquarters. Crepitus in tarsal joints bilaterally with moderate swelling. Small pressure sores present on HLs also.Integ: clean coatEars and eyes: NSFAssessment: Severe OA > managed Ok on beransa and cartrophen but need to add in multimodal pain controlTreatmentBeransa 30mg SC B813179 exp 05/26 Cartrophen 1.38 SQTo start on meloxicam 5mg (0.10mg/kg) daily for at least 7 days but likely daily ongoing Plan:Repeat injections in 1m.Ok to have a prescription for Lyrica should owner call back and want to add thisDiscussed possible drug interactions. RPOA not seen in dogs.Offered bloods for metacam use - owner declined.    Vital Signs    Weight: 45.9;