C09999052 / invoice 10000

O lots of concerns1. Playing with GSD at dog park last week, Limping left hind and crying intermittently since2. Last 2-3 months breathing really hard after exercising and wheezing3. Worried about shape of nose4. Diet questions5. Abnormal gait in general - Swaying HLs when walkingMm pink and moistVery hard to fully assess mouth as bouncy puppy but NADNose fine, ears fineHeart and lungs wnlBCS 5/9 - ok but no weight gainAbdo palp wnlMild discomfort on lumbar back palpationMild discomfort on extension of LH hip at extremes 1. Suspect LH hip injury and secondary back pain, give NSAIDs and rest 2 weeks, re-ex if NSAIDs don't fix or problem comes back when stopping2. Can't find anything abnormal with lungs or breathing, o to take video and send to us3. Nose wnl4. On RC puppy so very good, ok to give milk/eggs/chicken feet but only as treats5. Swaying of hips could be normal (muscle mass is still developing) but could also be signs of hip dysplasia. Monitor, if dissapears when on pain relief then comes back when off needs a work up as indicates underlying pain, INI 3 months may need to Xray, if resolves then monitor at home    Vital Signs    

Reason: Stitch RemovalAppointment Notes: nmhStitches removed. Wound healed well    Vital Signs    

F/up sms sent lmw    Vital Signs