C10021229 / invoice 10000

Reason: Med Refill Syn Inj RMHistory: Ataxia in hind legs mostly resolvedTook off gabapentin as was making it worseStill on daily previcoxStill a little ataxic left hindDid some physio/hydrotherapy but he was VERY lazyExamination: Small weight loss which is goodMild ataxic and proprioceptive deficit LhDiscussed removal of spleen as CT found a nodule Also has some spots in lungs so possible mets or could be unrelatedTreatment: Synovan monthly boosterPlan: Owner to discuss with family about splenectomy    Vital Signs    Weight: 37.5;