C09992964 / invoice 10000

GAP history:

Presented for hind limb rads, AG flush and mass removal
NAD on rads- no evidence of OA or spinal bony lesions. Suspect degenerative neuropathy as cause of hind limb collapse. 
Ags flushed and dermotic instilled
Left front leg- small lipoma removed from antebrachium, closed biosyn 2/0. 

Reason: Recheck
History: AG seems fine, and OR legs seem better on meloxicam. 
O also has a few concerns- lump on right front leg just come up, and is considering CT to investigate hind leg lameness/weakness
EDUF: normal
V#/ D#/ Coughing? none

Discussed cannot address all concerns in 10min RV consult. 

Examine: 
Mentation: bar
BCS (0-5): 5/9
MM:      pink moist            CRT: 1s
EAG- L empty, right moderately full but easily expressed, with purulent discharge still present. DIscussed abs not overly helpful unless there is cellulitis which there isn't here, really needs sedated flush/dermotic
Abdo palp NAD
LNs WNL
Integ 1.5cm mass on cranial aspect of right antebrachium- FNA fat only but advised removal as has appeared quickly and is in difficult place. 
MSK gait consistnet with bilateral chronic cruciates, medial buttressing present bilaterally. Recommended rads, o keen for CT of whole body at Swan Vets, have said probably not indicated, high radiation exposure and risk of finding incidentalomas... 
Dental Stage: 1
Temperature: nt
Any additional findings: nsf

Assessment: o to consider rads, lump r/o and ag flush. 

Treatment: can continue meloxicam 3.75mg sid