C10010395 / invoice 10000

IN CAR Admit - X-Ray Lumbo Sarc
Referred to us by DR tara Needham from Capital Canine Rehab

N/C GK ok'd

Admit:
Fasted o/n.
Generally well - no V+, chronic mucousy stools.
Current meds: meloxicam SID - last dose last night.

PreGA bloods (comp., PCV/TP) unremarkable - see lab.

Sedation:
1.12ml methadone (10mg/ml) + 0.15ml medetomidine (1mg/ml) IV - effective.
2 x 0.5ml top up doses alfaxalone (10mg/ml) to achieve twilight sedation suitable for xrays.

Radiographs
Staff [vet/s [VetCode], nurse/s - initials] (RHM, TJ)
Part: (Spine) View: (L lat., VD) Exposure:(110) kV (2.5) mAS Exp. comment (good)
Part: (Pelvia) View: (VD) Exposure:(110) kV (2.5) mAS Exp. comment (good)
Description: Coxofemoral joints largely unremarkable - good result for age & breed. At least one area of spondylosis in spine (L1-L2) but otherwise largely unremarkable too.
Recommendation: Sent for VIA interpretation.

P:
Continue Meloxicam SID, controlled exercise, physio program currently.
VIA interpretation pending.

Send to Tara Needham (mobile physio).

O in car dog reactive need free room, white ute infront of GVH window
Referred to us by Dr tara Needham from Capital Canine Rehab
N/C GK ok'd
Hx requested from Port Kennedy Veterinary Hospital (WA) & Jamison vets

Hx:
BIOP since puppy.
Dog fight(s) approx. 2YO --> became more reactive with other dogs - O has tried different methods of training etc. (reactivity training etc.).
Generally well over the years:
- sensitive GIT - managed with strict diet of mostly Lyka BUT still has soft mucousy stools approx. 70% of the time!
- end of last year dragging feet + some weight loss (muscle wastage) - workup with WA vet
- moved to CBA last year - more workup - bloods for EPI & general bloods WNL (according to O)
- started Pentosan injections this year (had a complete course)
- started hydrotherapy & physiotherapy - good response re. muscle tone
- sought second opinion Tara Needham --> suggested xrays of lumbosacral region - due r/v in 4wks
- Orivet gene tested recently for degenerative myelopathy - pending
Current meds:
- meloxicam SID last 10d - made a good difference in comfort/mobility
- rosehip powder BID
More active & lively since starting NSAIDs.
Otherwise sleeps a lot.

PE:
BAR - nice dog.
MMs pink & moist.
Dental condition mostly good - R upper canine possible epulis + some mild calc.
Heart & lungs NAD.
Abdo palp well tolerated, soft & comfortable.
MSK:
- thoracolumbar & lumbosacral spine mild discomfort on palpation
- muscle wastage HLs & discomfort on hip extension

Plan:
Booked next week for xrays - spine, hip joints.
PreGA bloods (comp., PCV/TP).
Estimate up to $2000 if send for VIA interpretation.

Discussed diet trial for chronic GIT issues:
1. Hills Biome STRICT for 4wks.
2. INI then RC anallergenic STRICT for 4wks.

HX from Jamison Vet