C10019502 / invoice 10000

Reason: Unable To Use Back Legs Overnight - EUTH ROOMAppointment Notes: able to walk in clinicConsult Time: History: Weak on his hindlimbs last night. Unable to rise, was pulling himself around by his forelimbs. Had been fine prior to last night. O didn't observe any trauma, but possible he fell off bed or in the backyard. Zooms a lot. Subjective: BAR, ambulatory, slow to rise but managing, favoring RHL over LHLObjective: Temp: 38.3            MM: pink              CRT: 1-2             HR: 120             FP strong/synchronousCV: no audible murmur, normal rhythm but difficult to hear through panting RESP: panting, lungs difficult to auscultate clearly but no obvious wheezes or crackles RR: pantingGIT: comfortable on abdominal palpation,U/G: unreactive to palpation, unable to palpate bladderNeuro: normal mentation, ambulatory, no proprioceptive deficits. M/S:  repeatable discomfort on LS palpation over hips, resistant to flexion and extension of LHL, comfortable with manipulation of RHL. Integ: not assessed Ophth: no discharge or inflammationRenal panel- all results WNLAssessment: soft tissue injury, osteoarthritisPlan: Offered sedated rads today. O considering as difficult to get Boris to a clinic. Boris continued to improve throughout consult. Counselled that medication trial reasonable course of action, recommend renal panel prior to starting NSAIDs.O consented.Renal panel WNL, start oral metacam SIDAdvised O strict bed rest needed, if not improving in next 24-48hours then sedated rads +/- further diagnostics indicated.  Treatment: Consent has been given by the client to proceed with this treatment  -  YesMethadone 0.2mg/kg IM @9.27amMetacam 0.1mg/kg PO SID    Vital Signs    Weight: 30kg;