C10011015 / invoice 10000

Collapse
Paws App Details:

Booking Type: Consultation
Booking Vet: - Any -
Booking Notes: ?Post exercise collapse lasting for 2 mins
Pet Insurance Provider & Policy No (if applicable and not provided): RSPCA : RS10100723

Elizabeth and Mary 
post exercise will tremble on hindlegs and then sit and pant 
Other activities at home are normal 

Fls no pain 
Seems painful on ROM of L pelvis c.f R pelvis , crepitus on R stifle 
No pain on flexion of tail 

Noherat murmur or arrythmias, Sync FPs 
Mm pink moist 


Plan: 
meloxicam (previously dispensed) 5.5kg SID 7 days + strcit rest 
Resume exercise after 1 week and see if weakness in backlegs return 

INI sedated rads of Hindlegs and back 
Can also consider cartrophen and beransa trial 

blood results

mild increase ALT
otherwise snf

P: onto oral meloxicam liquid 5kg dose po sid for 1 week
repeat bloods in 6 months to monitor ALT

Not herself
Last few days seems depressed, behaviour not normal, very quiet & withdrawn. EDUD as normal


H: 4-5 days ago gave bath, was running around afterwards
since then has been a bit depressed and lethargic
eating and rinking btu less than normal
also got scared by fireworks during lunar new year few days ago
once off bile vomit few days ago but otherwise no v/d
not lame but walking bit different to normal
E: QAR, BSC 7/9
eyes ears nose nsf
MMs pink, mosit, grade 2 dental dz
Lns wnl
HR 100, no murmur
Lungs clea
abdo nsf
temp 37.8
Neuro
CP wnl all 4 limbs
MSK
bit reluctant to flex neck to L and extend LFL shoulder
otherwise nsf
A: suspect soft tissue injury to neck
P: TAHP bloods to be safe
50mg gabapentin po bid for enxt few days while waiting on bloods (O has liquid at home)
rest, avoid jumping down from bed etc
if bloods all clear then swap to course of NSAIDs