C10008194 / invoice 10000

Reason: Coughing     TPAppointment Notes: check back left legHistory:Presenting Problem:coughin and RIGHT hind leg lamenessDiet: Current medications: 1/2 cardisure 5 mg BIDInsured? (Y/N)Examine:Demeanour:BARTeeth: Eyes: Ears: Oral cavity: Body condition: Cardiovascular: 3-4/6 HM, synchronous HRRespiratory: nil crackles or wheezesLymphatic: Abdominal/gastrointestinal: Urogenital: Musculoskeletal: RIGHT hind 1/5 lame. Thickened stifle, but nil draw sign. CrepitusNeurological: Skin: Assessment:1. Cough most likely dt cardiomegaly - getting o to continue to measure RRR2. RIGHT hind arthritisPlan:Continue with NSAIDS, if reverting back to lameness, then may trial beransaHave explained that the cough will most likely not improve with diuretics, and hasn't shown an imp't with either aminyllin or codeine previouslyTreatment: -------------------------------------------INSURANCE HXInitial Assessment > coughing due to cardiomegalySuspected cause > heart valve diseaseDate of first clinical signs > middle of last yearAny other conditions? / treatments? > RIGHT hind leg lameness, most likely due to arthritis    Vital Signs    HeartRate: 80 - 90 BPM;