C09988414 / invoice 70000

Reason: Panting All Day Crying Out In Pain Lymping Appointment Notes: 03.03.2026 VHStabalizationBAR, RR: panting, RE: 0/3, MM: pink/tacky, CRT: 2sec, HR; 96, Strong pulses. Temp 39.0 (Aux)BW: 28.2kgRecord Entered by: Vet student (William Wiseman)Record Checked by: SKPRESENTING COMPLAINT: Panting all day and left forelimb pain   HISTORY:SPECIFIC HISTORY:Owner reports Xanthe has been panting more often at home which has been progressively getting worst for a few weeks. Today the owners reported her panting was the worst it has ever been.The owners reported she yelped in pain when she got up this morning and was non-weight bearing on her left forelimb. The owners took her for a walk and no pain was observed.  This evening Xanthie was yelping when lying down, panting a lot more, and felt hot. She couldn’t jump into car on the way to vet which she usually can. Owners report there was no inciting cause of pain, however, had a previous shoulder injury in 2024. NON-SPECIFIC HISTORY:    OTHER PETS: No other petsDIET: Gastrointestinal royal canine with a few treats. Supplemented with fish oil.CURRENT OR RECENT MEDICATIONS:  B12 supplementation (SASH diagnosed low B12). Cannot have Meloxicam – previous reaction.  COUGHING, Sneezing, Vomiting ETC: Regurgitates if eats fast. No vomiting though.EDDU: Owner reports EDDU is normal.   VACCINATION: UTDPARASITE PREVENTION (incl. Compliance): Purina total care (UTD).  PHYSICAL EXAMINATION:WEIGHT: 28.3MENTATION: BARHR:                                                     96PULSE QUALITY:                            Strong, synchronousRR:                                                     Panting, no wheezes or crackling, RE = 0TEMPERATURE:                            39 (Auxiliary) CIRCULATORY: Strong synchronous pulses, CRT <2 seconds, MM pink and tacky DIGESTIVE:          Tense on palpation, yelped when being palpated initially. Could not replicate on further palpation.                            Oral Cavity: Calculus build up. MUSCULOSKELETAL: No pain when palpating and flexing/extending left forelimb. Gait appeared normal, and no pain when flexing neck. Still suspicious there may be some underlying pain that could be hidden. NEURAL:                   BAR, full neuro exam not performed. LYMPH NODES:     Mandibular, prescapular, and popliteal normal in size, shape and texture.	EYES: No blepharospasm, erythema, or opacities.EARS:              No discharge, erythema, or odour.                                  BODY CONDITION SCORE:    	5/9  ASSESSMENT:Problem list: 1. Yelping this morning and non-ambulatory on left leg  2. Increased respiratory effort Xanthe presented today for acute onset of pain suspected to be in the left forelimb. Physical exam findings were normal with no obvious signs of lameness, or pain. It is suspected the yelping on abdominal palpation could be due to referred pain or due to the dog being nervous. Due to the increased respiratory rate and Greyhounds being stoic animals we believe Xanthie may be masking their pain. PLAN (incl. alternative options):1. 1x 500 mg Paracetamol tablet BID for 3-5 days and 1x 300mg tablet of Gabapentin up to 3x daily 2. Monitor at home, rest only. If pain does not resolve, refer to surgical team for full orthopaedic exam. Client Communication:    Vital Signs    

    Vital Signs    

    Vital Signs