C09988145 / invoice 20000

History: booked in for possibel xrays Sunday afternoon -normal walk in morning, not off lead -wouldnt go up the stairs Monday (yesterday)-really slow-tentative with stairs, not going up the stairs Really sore last night -crying, Drugs-meloxicam 2pm yesterday-catapress-had gaba 100mg All previous xrays from 5 years ago Examine:Lameness exam: hl no lameness, normal swagger with HL-some subjective spine hunching over lumbar region, subjective-stairs: good down, a little hesitant up the 2 steps in hallwayHl-cant touch as reactiveNo pain over spine palpation- possible lumbarAssessment: open diagnosis-suspect acute on chronic disc dx : acute inflamm of chronic instabilityCould do xrays but wont change plan: cage rest and pain relief- other possibilites: double acl, hips otherPlan: see belowAbsolute rest INI: ga, xrays spine, hips, stifl;esRepeat lameness and peVideos if possible- if unilateral hl lameAnd dental add on--- 04/03/2026 11:58:19 NUR:Pt-doing ok, thinks a bit sore-wouldnt toilet in usual area, went later-thinks gaba made him a little out of it Using legs ok-very quiet, o keeping him quietO happy w plan    Vital Signs    Weight: 16;       

Reason: Pain, Hurt His Back NZAppointment Notes: Overdue remindersHistory:WeightbearingGinger on going up steps, wouldn't trot but walking okay slowlyShaking at homeEDUD well.No known traumaNot that itchy, no more cytopoint in stock so will get some sent hereHas had previous leg injuries - hx shows RFL. No hx of IVDD.Brought in by: MeghanExamine: 1. BCS:     /52. Integument: all nails intact, no FBs or ulceration to food pads3. Musculoskeletal: initially lifting weight off LHL in consult, but was most reactive when examining RHL on consult table. Unable to localise to HL hip or stifle as sitting down and nervous for this but pulling this leg away when trying to examine. Won't stay standing for me to do cranial drawer test.No overt pain along neck & back.LFL shoulder very stiff - could be behavioral.RFL comfortable & good RoM.12. Behaviour: better when examined on the consult table but still highly anxious13. Other: Treatment: Given O option to do xrays or trial conservative - O elected conservative as this has worked before.Diagnosis: Consider RHL hip vs stifle (ex. CCL rupture) ST injury most likely. Not r/o LHL as difficult to examine pxPlan:Trial Meloxicam 1.25mg SID PO 6dStrict rest - no stairs and no runningINI then GA rads of hips, stifles +/- dental if neededReminders  Updated: YES    Vital Signs    Weight: 16;