C10012054 / invoice 10000

Assessment of case and lameness.Reason:presenting for investigation and management of chronic, intermittent lamenessrecent radiographs show marked osteoarthritis, left elbow worse than righta new hard mass with purulent discharge noted on the medial aspect of the left elbowsurgical removal of the mass and planning for long-term arthritis managementHistory:intermittent lameness for a number of yearsowner reports at times the lameness is severe, resulting in an unwillingness to walk2018 ct scan showed subtle changes to the elbowsjanuary 2026 radiographs showed marked osteoarthritis, left elbow worse than rightno c+/s+/v+/d+pre-existing conditions: colour dilution alopecia, marked osteoarthritis both elbowscurrent medications or supplements: noneExamination:Body Condition Score: 5/9GENERAL: BAR, good temperament, well-hydrated, mm pink and moist, CRT <2sHEART: regular heart sounds, no obvious murmurs or arrhythmias, strong and synchronous peripheral pulsesRESP: lung fields clear on auscultation - no crackles or wheezing, normal effort and no obvious nasal dischargeEARS: external exam only - no discharge, no odour, no obvious inflammation or irritationEYES: clear chambers, no discharge, symmetrical pupilsABDO: abdo soft and supple on palp, no palpable organomegaly, or massesLYMPH NODES: no peripheral lymph node enlargement on palpORAL: grade 1/4 dental diseaseMSK: pain elicited on manipulation of both elbowsINTEGUMENT: colour dilution alopecia noted, several small subcutaneous lumps palpated, one hard mass with purulent discharge on the medial aspect of the left elbowUROGENITAL: no umbilical hernia, entire, testicles descendedAssessment:chronic intermittent lameness secondary to marked bilateral elbow osteoarthritissuspicious mass with purulent discharge on the left elbow requiring excision and histopathologyTreatment:surgical excision of the mass on the left elbow performedsubcutaneous tissues closed with 3-0 absorbable suture materialskin closed with 3-0 intradermal suture patternShot of loxicom for OA mamangemtn and manage OA with loxicom long termPlan:the mass was removed en bloc and will be sent for histopathologylong-term management of osteoarthritis was discussedwill commence on meloxicam at the standard body weight dose for arthritis pain control, then reduce to lowest effective doserecent renal function test was normal, no contraindications for long-term nsaid useadvised to monitor for improvement in lameness and any signs of gastrointestinal upsetrecheck appointment as needed based on histopathology results and response to treatment    Vital Signs    Weight: 19.3;       HeartRate: 128;       Temperature: 38.7;