C10004356 / invoice 20000

03/03/2026 Recheck limping

History: Jean presenting. She got back on Friday and noticed Ruby is still sore from her back leg. Difficult to keep her rested as often runs fast and plays boisterous with other dog. Seems to be walking and running fine, but struggling to get up and down from sitting. Also doesn't jump up on the couch. Seems worse in the evenings.
Starting desensitization for bee anaphylaxis tomorrow.

CLINICAL EXAM: same as last time
Demeanour: BAR, very happy
Temp: not taken
HR: 96bpm
No heart murmur detected
RR: Chest sounds clear
MM pink, crt<2secs.
Abdo palpation: soft and comfortable
LN: wnl
Eyes: wnl
Ears: wnl
Dental grade:  1/4 
 
Musculoskeletal: very similar to last week. 1-2/5 lame on RHL. Mild thickening of R stifle an pain on flexion and extension today. Initially tender for R hip palpation but not repeatable. Nil other findings. 

Neuro: appropriate mentation, intact CP x4

Treatment:  Chatted about options for lameness.  
Discussed dx investigation including sedation & x-rays
Discussed tx/mx options including NSAID trial.
Jane is keen on trying meloxicam and rest for a few days, but will start after desensitisation tomorrow (can't have any meds on the day of).
0.9mg Meloxicam SID x5-7d. 
Nails trimmed. 

Plan: keep as rested as possible. 

C/C 5-7d to ensure improvement.  Resee INB for sedation & x-rays. | 26/02/2026 "Hurt her leg"

History: o's daughter presenting. RH leg has been sore for about 24h. Is weight bearing but holding leg up now and then. Plays hard with other dog. EDUF normal and no other concerns. 
Medications: nil

CLINICAL EXAM: 
Demeanour: BAR
Temp: not taken
HR: 100bpm
No heart murmur detected
RR: Chest sounds clear
MM pink, crt<2secs.
Abdo palpation: a bit tense with nerves
LN: wnl
Eyes: wnl
Ears: wnl
Dental grade:  0/4 
 
Musculoskeletal: R stifle mildly thickened, a bit sore for stifle extension but ok for flexion. No pain on spine/neck/tail/other extremity palpation and nil other findings. 1-2/5 lame on RHL.

Neuro: CP normal x4, appropriate mentation

Treatment:  Chatted about options for lameness.  
Discussed dx investigation including sedated x-rays
Discussed tx/mx options including NSAID trial & rest.

Plan: O declined everything. Will keep rested for the next few days and recheck if no improvement.

C/C 5-7d to ensure improvement.  Resee INB