C10009633 / invoice 10000

Appointment Notes: Health check, wanting to get him checked over make sure he is going ok as he is slowly deterioating. SO 5.3Is a bit slower to get up, is roaching his back consistently and doesn't seem sore in the back, is a bit ataxic from time to time in the hind legs and does drag his toes.Trimmed nails, did trim one too shortMeds: Thyroxine, gabapentin and meloxicamAssessment doing well for his age, will need increased pain meds in time    Vital Signs    MMColour: Pink;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Abnormal (hind legs bilateral stiffness and crouching);       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       Demeanour: BAR;       Hydration: Normal;       Gingivitis: 0;       Calculus: 1;       Observation: Abnormal;       HeartRate: 80;       BodyScore: 5;       PainScore: 1 (Very stiff in hind legs);       CRT: Less than 1;