C10001059 / invoice 10000

Reason: Back Hind Legs CollapsingConsultation Time: Hospital Time Period: History:Presented for acute onset hindlimb paresis. Two nights prior (05/03/2026), Sadie pounced towards a cat and subsequently collapsed, vocalising in pain, with an inability to use her hindlimbs. The hindlimbs were reportedly stiff at the time of the incident.She was seen at an emergency veterinary hospital where she was noted to have improved slightly and was semi-ambulatory by the time she had a consultation. A presumptive diagnosis intervertebral disc disease was made. She was discharged with 0.1 mg/kg Meloxicam PO SID + 16 mg/kg Gabapentin PO BID-TID.Over the last 24 hours, the owner reports increased dragging of the hindlimbs, more pronounced on the right hindlimb. Sadie is able to stand but is ataxic. She has not been crate-rested but has remained on her bed with minimal movement. She is carried outside for urination with towel support under her belly to squat.Appetite and thirst are normal. No defecation observed. Urination occurs with a semi-squat posture. No restlessness noted at home other than that associated with the current condition. Does not seem like she's in excessive pain at home (e.G. No vocalisation, anxiety, yelping). Current meds: 0.1 mg/kg Meloxicam PO SID + 16 mg/kg Gabapentin PO BID-TIDPre-existing conditions: History of a tumour removal from the neck region in 2024 (O unsure of diagnosis). No abnormalities were reported on pre-anaesthetic blood work at that time. Rescue dog, history prior to 2-3 years ago is unknown.Subjective:BARObjective:Temp: 38.7 MM: pink, moist  CRT< 2 secs  HR:  116 beats/min  FP: strong femoral pulses synchronous with HR   RR: 32 breaths/minBCS:    /9                Wgt:    kg Pain Score (CSU):   /4CV:    RESP:              GIT:   U/G:  Neuro:  M/S:  Integ:  Ophth:  LNs: Problem List:Grade II T3-L3 myelopathy with known traumatic eventAssessment:  	Plan: Options provided to O:1. Admit for supportive care with view to refer to neuro for MRI +/- surgery- O declined2. Outpatient monitoring with pain relief + strict rest for the next 2 weeks with frequent rechecks with their regular vet for serial neuro exams- O elected for this option    Vital Signs