C09999408 / invoice 10000

Reason: SB- Sore Hips Appointment Notes: Special payment terms exist, Overdue reminders spHISTORY: Seemed sore in back end last few weeks, seems to not want to sit. No hx of HL lameness. O has been giving paracetamol intermittently, seems much happier after paracetamol. No other current medication. No supplements. Otherwise DUDE normally. Main concern: Lame LHL EXAMINATION:Temperament: BAR Eyes: NAD Ears: NAD externally (no otoscopic examination performed) Nares: NAD Oral: 109/209 slab fracture - stable non painful dentine cover of pulp Cardiovascular/respiratory: systolic heart murmur Skin: NAD Skeletal: G1/4 lame LHL, resentment on manipulation of stifle, no pain of long bones  , NAD distal limb gastrointestinal:  NAD Genitourinary: NAD Neuromuscular: NAD Lymph Nodes: WNL Problem List: Heart murmur - echo to be organised Lameness LHL - rest and NSAIDS, INI rads Apical fractures of teeth - plan to monitor Treatment: Vaccination and Physical Examination -  BB oral, Pi2 s/c Site of s/c administration = between shoulder blades Plan: Booster 12months    Vital Signs    Weight: 35;