C09990020 / invoice 10000

Reason: WF - Recheck Hind Leg TM Appointment Notes: Keep extended TM  ------- Sms reply: YHistory:Lameness on RHL after lying down for past few weeks. Would become normal after stretching it out. O want to know if she's in pain. Normal mobility otherwise. Enjoys swimming. Previous had xray and warned by vet that the HLs may eventually have problems. Unsure if OA was diagnosed then. Was in for dog fight wound. EDDU normally. No v/d/s/c. Vaccination due Examination:BAR, anxious, O warn she can get growly but doesn't bite, historically done better without O present BCS: 6/9Oral: Cannot check due to temperament. Mild halitosis CV: HR normal, no murmur or arrhythmiaRR: normal bv sound and effortAb: tense, non-painful, mild bloated Msk: normal gait, no lameness, mild thickened right stifle but rom normal, mild crepitus in left stifle. No muscle atrophy Int: skin/coat healthy, no lesions or parasitesNeuro: normal gait and mentationAssessment:- Possible mild ArthritisTreatment:- C4 + CCi given SC - start joint supplement Communication:- Discussed likely arthritis diagnosis based on clinical presentation and history - discussed synovan injections, O feel not to that point yet. Advised to recheck for synovan if needed    Vital Signs    Weight: 8.4;