C10000206 / invoice 10000

Reason: Limping For DaysAppointment Notes: Special payment terms exist, Overdue remindersSubjective and history: Hx of RFL ulna osteotomy2 nights ago running on the beach, the next morning did not want to get up and was favouring RFL Fed commercial raw food (raw and fresh) that owner cooks + kibble (grain free). Does not know why vets recommend hills and RC as they are filled w wheat No further seizures- O changed brand of tick prevention as adv it was a neurotoxin, and does not give every month- now on Simparica trio,Generally a quieter dogEDDU ok, no v+/d+10/25- Pain L elbow extension and extension of LFL at shoulder. Full BW at this time + T4 normal On Green lipped muscle supplement + Rose hip supplement Objective: BAR, subtle grade 1 WBL on RFL at a walkBCS 4/5- Gained 3kg in the last 2 yearsLikes treats MM pink, CRT <2sec, mouthy on exam but did well when O fed treats Markedly reduced ROM (flexion) L + R carpus, no pain on palpation No pain on palpation across digitsNo pain on shoulder manipulationSl discomfort on elbow extension RFL >LFLHeart/chest okAbdo okAssessment: RFL lameness- r/o acute on chronic dz- suspect underlying elbow dysplasia, marked reduced ROM carpi Treatment: 1. Carprofen 62.5mg PO SID 7-10 days + rest2. Recc weight loss, recc zydax inj course 3. Paracetamol 375mg PO BID as needed for additional analgesia Plan: INI recc elbow CT ideally, or if cost prohibitive recc GA + xrays Treatment: Carprofen 2.2mg/kg PO SID 10 days    Vital Signs    Weight: 27.3;       

Vetnostics attached--- 31/10/2025 09:02:54 AS2;Updated ownerT4 normalFocus of MSK as prev discussedMay also have behv componentLet me know if worseCould consider imaging    Vital Signs    

Reason: Has Been Lethargic For A While - Wants Bloods DoneAppointment Notes: ghHistory: O lost other Husky 4 months ago. May have gotten worse around this timeDesexed 1 year agoHas noticed lower energy; can spend all day laying by her feetEDDU normal; no PUPD, v+, d+Fed commercial raw food (raw and fresh) that owner cooks + kibble (grain free)Chronic ROM carpus L +R Physical Exam: BARMM p+m CRT<2sHR 116 RR pantBT not takenLNs normalEENT normalCoat/skin healthyNAD cardiopuilmonary auscNAD abdo palpMarked reduced ROM (flexion) L + R carpusPain L elbow extension and extension of LFL at shoulderAssessment: Bloods to rule out endocrine, anemia. More likely behv or related to MSK/jointsWait on bloods. Trial joint supplement--- 30/10/2025 15:39:19 AS2;Hi Victoria,Meeka's in-house bloodwork looks completely normal; no issues with the liver, kidneys, electrolytes or red/white blood cells. Will get in touch once the external lab blood work comes through.Kind regards,AlexAllambie Vet    Vital Signs