C10009710 / invoice 10000

Reason: ML Specific. Pre Exisitng Checklist For Insurance.Appointment Notes: ------- Sms reply: YChanging insuranceNo hx of Not on any medication currentlyAHMHistory:- Presenting for an anterior cruciate ligament (ACL) examination for a new insurance policy.- EDUD normally.- No vomiting or diarrhoea.- Previous visit 12 months ago for a dog bite, has recovered well with no lameness.- Up to date with parasite prevention.Current Medication:NilMedical History:NilExamination:QAR, friendly but nervous.MM pink, moist, CRT <2s.CV: Rate and rhythm normal. No murmur detected. Pulses SS.Resp: Lung sounds clear.Oral: Mild to moderate plaque accumulation, worse on the right side. No significant gingivitis.Eyes and ears: NAD.Abdominal palpation: Soft and comfortable. No masses palpable.Integument: NAD.Musculoskeletal: Ambulatory in all limbs. No lameness observed. Crepitus noted in the left hindlimb, suspected to be originating from the hip rather than the stifle. Full range of motion in stifles. No swelling or pain on flexion/extension of stifles. Good muscle mass.LNs: NAD.Assessment:1. ACL Examination for Insurance- A full cranial drawer test was not performed as Leroy was not compliant.- Based on physical examination, there are no clinical signs of stifle instability or cruciate disease.- Crepitus noted in the left hip, likely due to age-related wear and tear (osteoarthritis).- Options discussed included starting a joint supplement as a preventative measure.- Therapies discussed: Rose-hip Vital or Antinol supplements recommended.2. Dental Disease- Mild to moderate plaque accumulation noted.- Therapies discussed: Daily teeth brushing with a coarse cloth or doggy toothbrush, dental treats (e.g., Greenies), and carrots. Advised to be mindful of calorie intake with treats. Advised against feeding bones due to risk of tooth fracture or obstruction. Pig's ears are high in fat.- A professional dental scale and polish under general anaesthesia with full mouth dental x-rays was recommended within the next 12 months. It is not considered urgent.3. Body Condition- Weighed 2.4kg. Slightly overweight.- Recommended weight loss of 0.5kg.Treatment:NilPlan:- A letter will be written to the new insurance provider (AHM) stating that based on today's examination, there are no clinical signs of cruciate disease. Reception will call AHM to confirm their protocol for this.- Owner to monitor for any signs of lameness, stiffness, or reluctance to exercise.- Recommend starting a joint supplement (Rose-hip Vital or Antinol).- Recommend commencing a daily dental home care routine.- Plan for a dental scale and polish procedure within the next 12 months.    Vital Signs    Weight: 22.4;