C09999615 / invoice 10000

Appointment Reason: Cartrophen injection + Limping History:- limping on thursday night, fine on friday- limiting the stairs, still going for short walks & running in the yard outside- o hanged her diet & she has gained weightDiet: Supermarket Meatballs + greeniesExamination:BAR, lovely girl, best for nurse to hold for nailsEyes - bilateral early SNSOral - moderate tartar on upper L canine with gum recession, mild on upper R & carnassialsW - 9.5kg (gained 400g), BCS - 7/9MSK - ambulatory all 4 limbs, sore on bilateral hip extension, mild crepitus in LHL digits & hock, normal CPs all 4 limbsIntegument - small mobile soft mass on L lateral thoraxAssessment:OA/DJDgained weightPlan:gave cartrophen 0.3ml SC, next due in 1 month. Discussed about starting on pain relief but O reports only limped once, not occurring more frequently so will monitor, recommended weight loss + joint/mobility foods. Discussed about dental care & brushing as well. Nails trimmed    Vital Signs    Weight: 9.5;