C09999647 / invoice 10000

Appointment Reason: Check Up - Unwell/Injured, Appointment Notes: went to groomer - advised by groomer seems in painO thinks there is a stiffness from rear of bodydoes not think gabapentin is working.  JHIn with Rebecca History: Is at the behaviourist vet Is on the gabapentin- has struggled to get in Unsure if it's behavioural but is very stiff on her back end- seems to struggle to get upTurning down food she usually likesIs laying down by her way. No VD+Drinking normally. Medications:-  25mg sertraline BID-  300mg gabapentin BID- 200ugm clonidine SID - giving 100ug in AM, and 100ug in PM Examination: BAR, nervous but a sweet girlEyes, Ears, Nose: clear of discharge and symmetrical LNs: submandibular and prescap  LNs WNLCardiovasc: pink mm, no murmurs or arrythmias detectedResp: clear lung fields on auscultationAbdo palp: soft, no masses or hernias detected. MSK: very stiff on hip ROM and appears painful on lumbar palpation. CPs in tact. Gr 2 luxating patellas bilaterally but seems to be worse on RHL.Assessment: Possible back pain?Plan: Trial pain relief. Advised Rebecca to call and update on Tuesday with how Chewbarka is going.      Vital Signs    Weight: 14.89;       MMColour: Pink;       Temperature: 38.2;       HeartRate: 140;       CRT: 1-2;