C10007942 / invoice 10000

Reason: Health Check And Beransa ZKAppointment Notes: ------- Sms reply: YHistory: Nil other concerns Treatment: Beransa 30 mg SC Metacam dispensed Strongly recommended QVS, ARH or Gatton for referral as proprioception absent in LHL, RHL still present -> ataxic gait O will consider this Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:Reason: Nurse: -vaccination due jan 27-heartworm SR12 due feb 27-worming all wormer from woollies-flea/ticks bravectoDiet: Baxters? Tinned food from woollies, and supercoat asult kibble from woollies, brisket bone evry morningExam: Lab: Assessment: Treatment: Plan:    Vital Signs    Weight: 42.8;       

Reason: Report BloodsGGT 31 (0 - 9) IU/LT4 TOTAL 12 nmol/L 13 - 52Dogs with low T4 results may have hypothyroidism. Other causes of low T4 include non-thyroidal illness (euthyroid sick syndrome), drug therapy (including glucocorticoids, anticonvulsants, non-steroidal antiinflammatory drugs, salicylates, frusemide, androgens, sulphonamides, penicillin, diazepam). Not presenting with c.S of hypothyroidism and do have history of Metacam use for past 2 weeks Discussed GGT elevation and recommendations of abdominal ultrasound or to monitor and recheck O chose option 2 as clinically doing okay at the moment Recheck bloods in 3-6m    Vital Signs    

Reason: Bloods + Beransa + GHCAppointment Notes: ------- Sms reply: YReason: Bloods, beransa, SR12, health check on degenerative disease. Nil other concerns Nurse: -vaccination UTD-heartworm due today -worming something from woolworths -flea/ticks bravecto Diet: woolwrths kibble and wet food unsure of brandHistory:Presented for follow-up regarding hind limb weakness and for administration of heartworm prevention. A new lump on the right flank was also noted by the owner. There is no vomiting or diarrhoea.Examination:EEN : NAD, no discharge.Dental score : A chip fracture was noted on 108 with potential pulp exposure, however, no issues with eating.Lymph Nodes: Palpable lymph nodes are symmetrical and WNL.Heart: No murmur or arrhythmia detected, pulses are strong and synchronous.Chest: Lungs clear on auscultation, normal bronchovesicular sounds.Integument: A small, soft, mobile subcutaneous lump was palpated on the right flank. FNA performed.Abdominal palpation: Soft, non-painful, no organomegaly detected.MSK: Hind limb weakness, reduced ROM, muscle atrophy Neuro: Mentation is bright, alert, and responsive. Gait shows some hind limb weakness.Laboratory:- Bloods were collected for a comprehensive panel, results are pending.- FNA of the right flank lump revealed adipose tissue, consistent with a lipoma.Assessment:Generally well, concerns remain regarding hind limb weakness ddx degenerative muscle disease  vs OA. Chipped carnassial Treatment:- ProHeart SR-12 (heartworm prevention) 2.2 mL administered SC.- Beransa injection administered SC for management of osteoarthritis pain.- A blood sample was collected via jugular venepuncture and sent to an external laboratory.- A follow-up appointment was scheduled in one month.- Advice was provided to the owner regarding the use of Meloxicam (Medicam). It was recommended to use it on an as-needed basis, for example, during a bad week, rather than daily, to minimise the risk of long-term kidney effects. An alternating-day schedule was suggested as an alternative if more frequent use is required.- Recommendations were made for managing osteoarthritis. This included weight management with a target weight of 40kg, the potential use of joint supplements, and a discussion about a prescription diet (Hill's Metabolic + Mobility). The role of cartilage-protecting injections (e.g., pentosan polysulfate sodium) was also discussed, with the plan to review this option after receiving the blood test results. The mechanism of Beransa as a pain-relief agent was explained, with a caution against over-exertion. The use of NSAIDs like Meloxicam for inflammation was also reviewed. A handout on osteoarthritis management was provided.- A vaccination certificate including the heartworm prevention was provided as requested.--- 11/02/2026 08:06:55 AM KSN:Examinations - Resolved - sms sent ajl    Vital Signs    Weight: 44.4;       HeartRate: 72;       DentalGrade: 1;       CRT: <2;       MMColour: pink ;       BodyScore: 6;