C10014500 / invoice 10000

Reason: Xrays & Vacc. GAP ONLYAppointment Notes: Has calming medsLH 10/3 Vet check sent with reminder text. VET CHECK DONEHistory:- Presents for rads, teeth check, all under sedation/GA- Owner reports scraping of the dorsal aspect of the hind claws during ambulation and intermittent bunny hopping gait.- Patient is highly anxious and requires sedation for thorough examination and diagnostics.Physical Examination (sedated):- Sedation medetomidine 0.4ml and butorphanol 0.6ml IM - Still reactive, 3ml alfaxalone IM, good sedation - General physical examination within normal limitsOrthopaedic examination:- No cranial drawer detected bilaterally- No tibial thrust detected bilaterally- No patellar luxation appreciated- Ortolani test negative bilaterally- Mild gait abnormalities observed when conscious (dorsal paw scuffing HLs, occasional bunny hopping)Oral Examination:- Mild dental disease (Grade 1)Diagnostics:- Haematology & Biochemistry: Within normal limitsRadiographs: Spine, hips, and hindlimbs imagedNo obvious orthopaedic abnormalities detectedQuery very mild bilateral stifle joint effusion? Assessment:Mild gait abnormality characterised by hindlimb scuffing and bunny hopping. No overt orthopaedic instability identified on examination. Subtle radiographic changes noted in stifles of uncertain clinical significance.Plan:Radiographs to be forwarded to Dr Sam Haynes for second opinionFurther recommendations pending review    Vital Signs    

Reason: Xrays & Vacc. GAP ONLYAppointment Notes: Has calming medsLH 10/3 Vet check sent with reminder text. VET CHECK DONEReason: Admitted for: X Rays Consent form completed? Yes Estimate given?Fasted overnight? Last nightMedications: Trazadone 6.30am and last night Pre-anaesthetic blood tests? YesV/D: No issues Best Contact Number for Today? 0477281585Other: Check teeth, anal glands, nails, vaccine ## GAP ##    Vital Signs    

Reason: Kc And Lepto And Wants To Talk About XraysAppointment Notes: quantum text already sent - Leni  ------- Sms reply: YesHistory:- Presents for vaccines- Sometimes he knuckles the HLs when walking, scrapes the top of his claws on the ground - Happens constantly, you can hear it happening - Can still run around fine, can jump onto things, does not struggle or show signs of pain  - Some times he will stop suddenly when playing ball - No limping / lameness Plan: - Exam limitied however walks very well- Going to do HL and hip rads, full nail clip AGs and vaccines under GA- O to call and book in    Vital Signs