C09996687 / invoice 10000

Appointment Notes: New Client.  First Visit. Web Booking for Luxating Patella in R Knee has flared up again -abS: diagnosed with luxating patella a few yearsHad been having hydrotherapy for 12 months and been fine since thenwhen checked at vaccination at Russell Vale found one leg was worse than the othercurrently using 4cyteO: Thorax nad on auscultationno obvious pain while walking in consultleft stifle, grade 1 patella luxation, pops straight back in when luxatedright stifle, grade 2/4, starts in, pops out when straighten out leg and stays out. mild stiffness in hips but no pain response, is very relaxed dog thoughA: patella luxation, particularly right stifleP: discussed surgery, given still a young dog would aim to ideally fix the mechanical problem causing issues. hydrotherapy, supplements etc will all help with discomfort but wont stop the luxationrecommended specialist assessment, will contact Dan James to organise consultstart zydax course, 0.3ml sc, repeat weekly for 4 weeks    Vital Signs    MMColour: Pink;       RespirationRate: 20;       HeartRate: 124;       CRT: Less than 1;