C10003251 / invoice 10000

Reason: AH Lame And Not Himself Since DischargeAppointment Notes: Overdue remindersHistory:In hosp last week for severe pancreatitisDischarged 2d ago and IV catheter removedO advises has not really been himself since home, but eating well and normal f+No vomiting Now this afternoon not able to put weight on leg that had catheter in (RH)Short walk this morning seemed fine thenHx of hip and stifle issues (MLP)Feeding RC gastro, freeze dried treats and spanish mackerel Drinking and urinating normally Meds:- Amoxyclav - last dose yesterday - Panadeine forte - finished this morning - Apoquel- Pred Examine:BARBCS 8/9MM pink CRT 1s good hydration Teeth gr 1HR 130 + ausc WNL Resp - panting +++Abd palp NAD no discomfort cranial abdomen Palpable LNs WNL Eyes NAD Ears NAD Skin/coat NAD - IV catheter site RH WNL no evidence of infection Musculoskeletal - NWB/hopping lame RH - unable to localise pain but repeatable clicking on stifle flexion Neurological NADTemp 38.9C Problem list:Acute onset RH lameness Assessment:Recommend repeat x rays to investiate cause - possible CCL tear vs other complication of hip dysplasia/MLP Treatment:Buprenorphine 0.02mg/kg SCContinue panadeine forte as previously - half tab BID Add in 100mg gabapentin BID if more analgesia required Plan:Advised o bup inj and gaba can cause mild sedation - o to only give gaba this eve if not too sedate following bupRecheck booked tomorrow morning - admit for repeat x rays - advised to fast in morning--- 09/03/2026 08:14:12 ND:Owner cancelled xrays as she feels has improve    Vital Signs    Weight: 12.8;       

Reason: RecheckAppointment Notes: Overdue remindersDog doing well. Removed IV cath. Small bandaged placed and owner directed to remove at home in a few hours. Front leg observed by Dr PCBCleaned and neocort cream applied, small light bandage reappied for couple of days. Owner to remove on monday and get a nurse to check if any concerns. Told to come in and get nurse to check any cath sites if concerned. Fyl    Vital Signs    Weight: 12.5;       

Reason: Pls Call Jenny With Update When You Can. Appointment Notes: Thanks, BMNEW DAY; date/sig: Day 1 in hospitalDifferential Diagnosis: Admitted for History: Current meds in hospital1) IVFT @ 2) 3) 4) 5) Assessment: _ARMM pink CRT_sHRRRTempEating?Drinking?U+F+Problem List: Primary concerns:1)2)3) Treatment: (listed as administered)1)2)3) Plan:Further hospitalisationPlan handed verbally to VET:      (in person/phone)- delete oneClient Communication: Client updated on costs:         Amount outstanding notified: $    Vital Signs