C10020404 / invoice 10000

Reason: BeransaSubjective: Last Beransa injection 1mo ago, last Zydax injection 1mo ago, O repots has been a little limpy over the last week Has Carprofen 50mg BID PO to be used PRN but only needed to give one in the last few days Pannus treated through VOR, O reports stable currently No other concerns, eating and drinking normally, no coughing/sneezing, no v/dObjective: BAR, lovely HR/PR/CV: HR 144MM/CRT/Hydration: mm pink and moist RESP/RR: RE normal Temp: N/TGIT/UG: Abdominal palpation comfortable and unremarkable Skin/Ears: NAD M/S:  Normal ambulation into consult, no swelling/effusion palpable across all limbs Eyes: Moderate chronic corneal thickening/opacity bilaterally, minimal conjunctivitis, consistent with known pannusDental: Grade 3-4/4Lymph Nodes: NAD BCS: 5/9Assessment: Mobility well controlled with Beransa/Zydax/Carprofen PRNDental diseasePannusDiscussion with Owner:Discussed not fully studied interaction between Beransa and NSAIDs, likely to be safe but cannot confirmAdvised minimising Carprofen use to only PRN, O understanding and confirmed only use very rarelyTreatment: Beransa 20mg/ml 798115 05/2026 injection s/c Carprofen 50mg BID PO Plan:Next Beransa due in 1moNext Zydax due in 2mo     Vital Signs    Weight: 37.6;