C10011628 / invoice 10000

Reason: Hurt ElbowCN RHHistory:Presented by MariaSlipped and sore on right wrist  O herd a yelpSunday night was not walking on it at allModay rested EDUDNot drinking a lotUsed Meloxicam in past for sore hips - stiffExamination:Thoracic auscultation - difficult to auscultateAbdominal palpation - tenseLN - not assessedOral exam - not assessedOcular exam - unremarkableAural exam - not assessedHydration status - adequateSkin exam - unremarkableNeurological exam - unremarkableGenital exam - nilRectal exam - nilMusculoskeletal exam - difficult to assessGait walk grade 0Gait trot grade 0Palp limbs - very difficult to assess. Yelps during palpation but very reactiveUrinalysis - nilRadiographs - nilReferral - nilDifferential Diagnosis:Soft tissueTreatment:MeloxicamPlan:WeightlossMeloxicam for 2 weeksX-rays of front limb if lameness still occursCN History:Presented by Examination:Thoracic auscultationAbdominal palpationLNOral examOcular examAural examHydration statusSkin examNeurological exam Musculoskeletal examGenital examRectal examDiagnosis/Differential Diagnosis: Treatment:Plan:    Vital Signs    Weight: 23.05;       MMColour: Pink;       BodyScore: 5;       RespirationRate: Panting;       CRT: < 1 sec;