C10019874 / invoice 10000

Appointment Notes: Special payment terms existORTHOPEDIC EXAM: 1. Gait/Posture: no obvious right pelvic limb lameness; no obvious off-loading of the right pelvic limb on standing (IMPROVED) Function: able to do square sit 2. Thoracic limbs: - Shoulders: unremarkable - Elbows: mild periarticular thickening (vs. Normal variant); rest unremarkable - Carpi: unremarkable - Digits: unremarkable 3. Pelvic limbs: - Hips: Left: unremarkable Right: Mild resistance to full extension ; no pain during abduction/flexion - Stifles: Left: unremarkable Right: subjectively mild effusion; No discomfort during full stifle extension (Improved); no instability; no medial buttress; normal ROM - Tarsi: mild periarticular thickening; normal ROM - Digits: mild pain during full flexion of the right pelvic limb digit 3 and periarticular thickening/effusion  (IMPROVED) - Muscles: mild right pelvic limb atrophy 4. Axial: - Spine: no spinal pain - Epaxial muscles: increased muscle tone along the lumbar spine----Lifting the paw two days ago  - sometimes never/sometimes twice a week Meloxicam - dailyPregabalin - MedicationMeloxicam: Please give daily until 19th. After 19th, it can be used as needed. Give 3 days in a row on bad days.Pregabalin: Please continue twice daily until the next recheck.Amantadine: Please continue once daily until the next recheck.Bootie usePlease use during activity 1-2 week block If you think bootie is working, please continue to useActivityPlease continue normal activityBut if he is too sore, please reduce the activity level.RecheckRecheck is booked on 14th. If he is not doing well, please do not give breakfast on that day. PLAN: - amantadine 100 mg/kgDrug/Form:  PregabalinStrength:  75 mgQuantity:  56Directions:  Give 1 capsule by mouth, every 12 hoursRepeat(s):  3FOR ANIMAL TREATMENT ONLYDrug/Form:  AmantadineStrength:  100 mgQuantity:  100Directions:  Give 1 capsule by mouth, once daily Repeat(s):  2FOR ANIMAL TREATMENT ONLY    Vital Signs