C09990223 / invoice 10000

History:Has appeared sore on LF over the past 2 days- still weight bearing, but more reluctant on this paw- no licking or obvious yelpsGets intermittent skin problems; itchiness mainly. Examination:Mentation: BARNo overt lameness on LF at a walk. Wt bearing at stance minimal; most placed on RF limb. Mild pain response & crepitus when palpation paw- suspect carpal. No physical changes in this region.No suggestive signs of FB (draining tract, discharge, swelling etc)Skin appears non-inflammed on PE todayAssessment:DDx: Soft tissue injury vs OA changes vs f# vs otherDiscussed options- can perform x-rays or trial medical management.O keen for medical management initially, interested in rads late next week if no improvementRec bacticort as needed for skinTreatment:Commence 0.1mg/kg metacam po sid over weekendRestPlan:Rec rads next week ini    Vital Signs    Weight: 41.8;