C10023714 / invoice 10000

Reason: Revisit After XraysAppointment Notes: ------- Sms reply: YDiscussion re xrays.Mild OA changes L elbow/shoulderMild changes R shoulderNot enough to be explaining clinical signs.P is going well when only very light exercise, no free running etc.  But if does zoomies, or runs around, will be stiff and sore on front legs after rest.Chronic issue >6mOn carprofen currently.Walking fine today, good ROM head and neck and no pain on neck palpation or manipulationPlan:Stop carprofen. If deterioration noted, restart and can call up for more to be dispensed for next 6mGoing to see how he goes with conservative tx and reassess at the vaccination in july.If still symptoms then will consider referral to orthopaedics for assessment and likely CT.    Vital Signs