C10013364 / invoice 10000

AG's full++++++Had to express from the outside Recc rechecking in 6-8 weeksWasn't scooting at home    Vital Signs    

Reason: AGsAppointment Notes: Overdue reminders    Vital Signs    

Reason: Rash On Neck? Sore Neck?Appointment Notes: Had been to D'spaHistory: Brought in by ChristineHurt his neck a few days agoYelping in painD'spa mentioned last 5 mins was yelping during groomO gave meloxicam when she called the clinic - maybe 10ish mins agoEDDU OKNo v+ or d+Examination: BAR, normal mentationP+M MMs, crt <2 secThoracic ausc - Gr 2-3 L sided systolic HM. Clear lung sounds. HR 144bpm = WNL, RR WNLMSK -Very stiff on amblulationLow neck carriageYelped on lateral flexion of the neck to the LEFT. Nervous and shaking ++Plan: Meloxicam 0.1mg/kg PO SID with food for 2 weeks RC in 7-14d or VSOS visit sooner if neuro signs, knucking or ataxia occur or continues yelpingAdd in panadol as needed for additional pain relief - 80mg PO BID for up to 5dSTRICT REST in the meantime    Vital Signs    Weight: 7.1;