C10003585 / invoice 10000

- Eyes / Ears / Skin (Sore left paw) 

Soaking in betadine
Limping 
flinched when L hind paw touched 
Noticed 2-3 days ago 

eating lyca 

GPE
straight hind leg confirmation
ataxic hind legs 


ddx
spinal issue (lumbosacral compression v TL) v hemis v IVDD

Strict rest

meloxicam SID 

Vetstoria Appointment
- Consultation - Sick / injured Pets (Lost weight) -

Seems to have lost weight recently. O thinks was up around 14kg. 
Diet: Lyka for approx 1.5 weeks. Prior to that dog roll, Human food, Meatballs. 
Licks feet alot. 

BAR
eyes and ears clear
abdomen comfortable
well muscled great ROM in all joints
no spinal pain 
Chest auscultates normally
Mild oedema hind feet 

Full bloods- Unremarkable- mild decrease in chloride- V+??
Home with apoquel
weigh in again in 1 month. 
Strongly recc removing human food alltog3ether and feeding strict lyka only-( O seems reluctant and unlikely to do this)

C5 vax, check nares

O states that breathing is becoming more laboured and noisy. 

Diet: prime and kibble (grain free), evalated feeding position, lots of table scraps. 
No vomiting.  A bit overweight. Owner is feeding chicken 2-3 times a week
Preventatives, bravecto spot on 3 monthly and milbamax monthly up to date

Checked ears.  Discussed food intolerances and gave owners food sheet. 

Discussed negative pressure in airway due to reflux

GPE little bit of noise in airway and tight nostrils after BAS 4/5 surgeries.  Furkids recommended redo BAS surgery 

ddx: irritated ears and acid reflux
txx: oticlean and losac 

Hx: 
- Due for Vaccination

PEx:  

Dx: 
- Fit for Vaccination

Tx: nobivac DHP
Batch: 2318714
Expiry: 11.24

Tx: nobivac bb/pi
Batch: 2318714
expiry: 11.24


Recheck in a month to discuss weight and recheck nares