C09995888 / invoice 10000

History:UTD with flea tick worming treatment O noticing limping on FL especially in morning or after laying down for a while, lameness improves as the day goes onV/D/C/S: NonePU/PD: NoneAppetite: NormalDiet: UnchangedRecent weight changes if any: NoneCurrent medications / supplements: NonePrior medical problems: NoneAny recent anaesthesias? NilHome environment: UnchangedOther pets in household: NoneNephrotoxin access (NSAIDs, grapes, lepto water areas, ethylene glycol, ACEi, vitamin D psoriasis cream/supplements): NilHepatotoxin access (sago palm, mushrooms, blue/green algae, human or other pet medications, xylitol):NilImmune-mediated disease triggers (beta lactam antibiotics, TMS, recent vaccinations):Nil Examine:Mentation:BAR demeanorBCS - 6/9MM - pink moistCRT -<2sHeart/Cardiovascular System - Normal HR, G4/6 systolic heart murmur normal rhythmLungs/Respiratory System - Normal RR, normal sounds and rhythmEyes - NormalEars - NormalOral Cavity - NormalTemp - not takenLymph nodes - NormalAbdo - NormalIntegument - NormalMsk - NormalUrogenital - NormalNeuro - NormalRectal examination - not examinedAssessment: RFL lamenessBilateral crepitus to stiflesOA likelyTreatment: Discussed start pentosan course, pentosan 0.6ml SC given (1 of 4)Booster every 3 months after induction courseDiscussed consider beransa or NSAIDs later onDiscussed starting supplements, osteocare Paws, or glucosamine chondroitinPlan:    Vital Signs