C09998314 / invoice 10000

Reason: Catrophen - 6mnth Check InHistory: Minnie is doing wellShe is going OK on walks - can't go for as long as used to but manages 3 km/40 minuites or soOn satiety and been up and down with weightThought she was 15kg but reweighed and 18.9 so ideally needs to lose a bitObjective:Demeanour: BAR - nice dog just nervous - fine for exam todayHydration: normalC/V: no audible murmurs/arrhythmiasResp: lung auscultation nadGIT: comfortable abdo palpationU/G: nadSkin/Ears: nadEyes: nadL/N: nadM/S: no lameness. Very comfortable to limb examination and flexion/extension of elbowsAssessment: Doing well with elbow dyplasia/secondary OADiscussion with owner: continue cartrophenCan add in fish oils 3000mgTreatment: Cartorphen s/cPlan: cartrophen q3mths, vet checks q6mths    Vital Signs    Weight: 15.5;