C10013286 / invoice 10000

Reason: NQR, Shaking, Making Weird Noises, QuietAppointment Notes: noticed this morning, not excited for breakfast this morning, did eat it, usually will finish first and wait for tango to finish and lick the bowl but was just standing there not ecited, when sitting and standing will shake like he's cold, when picked up his front legs are 'stiff-ish' and he almost winces, is making groaning sounds, in w wendy bhPrevious known history: Current Medications & Dose: History (from Owner):   Appetite:  Diet:  Vomiting?:  Drinking:  Energy Levels:  Urine:  Faeces:  Vaccination Status:  Parasite control:  Microchip up to date?  How have they been since last visit?When being fed this morning not interested in other dogs food, No zoomies, shaking when picked up.Examine:   Behavioural: Friendly   Mentation: BAR   Gait: Normal gait and posture Physical Exam (See Vital Signs): NAD unless otherwise stated       MM Moistness:   Skin Turgor:   Eyes:   Ears:   Nose:   Mouth:   Teeth:   Lymph nodes:   Thoracic auscultation:    Pulse rate/quality:     Abdominal palpation: Tense, NAD     Skin:    Musculoskeletal: Moderate wincing when caudal thoracic spine palpated. No obvious neck pain.     Anal Sacs:    Reproductive:Assessment:NQR - diagnosis open, possible spinal pain ?Treatment (See invoice items and client information): Meloxicam 0.2mg/kg SC Plan (See medication labels, reminders and instructions):Close monitoring over next 24-48 hours for ongoing symptoms.    Vital Signs    Weight: 7.25;