C09997842 / invoice 10000

Appointment Notes: not weight bearing RHL KEsuddenly lame on RHL this morning, was outside in garden and came towards them limping was in fornt yard, is completely flat May have had some kibble this morning around 7am Non-weight bearing RHL O about to leave and go camping non-weight bearing on RHL, VERY painful in R hip, tried ot bitem can;t extend at all, also reactive on hyperextension of R stifle Chets ok Admit for pain relief, sedation and xrays GAve 0.3mls meloxicam SC Hold off on sedation until 11am ES hospital: sedated hip + stifle rads L+RHR 104 no murmur Thorax okSedation: 0.26ml methadone + 0.21 medetomidine IM at 12.25Placed IVC Sedation quality poor - still reactive Topped up with alfaxan to effect - still reactive Took L+R lateral hip and stifle. VD hip and AP bilateral stifles and extended hip. Noted significant degenerative joint disease of hips. R>LShallow acetabulum, oseophytes of femoral head and acetabular rim. Nil dislocation or fracture observed. Stifles appear ok. POssible mild effusion in R stifle but not convincing. Very reactive to palpation of R hip and stifle. Too tense to assess drawer. Plan: strict rest and pain reliefmeloxicam 0.55ml SID 7d starting tomorrow gabapentin 100mg BID 7d starting tonight     Vital Signs    Weight: 8.6;