C10024397 / invoice 10000

Reason: AdmitAppointment Notes: Overdue remindersHistory: Presented to GX Carrara this afternoon for panting.Clients had gone out briefly, left air con on and when returned noticed Cooper panting excessively and reluctant to walk.Examination: PantingMm pinkSp 02 99%Very arched posture and reluctant to moveReluctant to extend either hip.Able to support body weight.Proprioception in all 4 limbsNo obvious acute neck pain on exam.Temp 38.7Abdomen on palpation soft comfortable non reactive.Tick search negative.Laboratory: EPOC:Lactate 1.33 wnlElectrolytes wnlPCV 42 TP 72Radiology: LATERAL L and R plus DV THORAXNo obvious pathology.Assessment: OK to proceed to sedation and radiographs of spine, pelvis and hindlimbs.Treatment: Medetomidine 0.28ml IVFurther dose of 0.14ml IVAlfaxan 0.4ml To allow series of radiographs.Both stifles are stable on exam .Atipamezole 0.42ml IMConsent has been given by the client to proceed with this treatment  -  Yes Radiology: Spinal lateral and VD series along with pelvis and bilateral hindlimbsResult: no significant findings.No obvious vertebral compression, fx or dislocation.HOWEVER, have discussed with client that to assess for IVDD or spinal issue in detail would require advanced imaging referral for CT.Client seems very keen to pursue this..Even if to rule out spinal issue.Plan: Overnight monitoring and pain management.Possible referral to specialist.**********************************************************************************************Hospital time period:  2200-0600- day 1 continuedVet communication:- handover AL --> NM @ 2200History:Sudden onset panting at home with hunched posture and apparent discomfort- see above for full history and diagnostic resultsObjective:- see flowsheet for o/n obs and nurse notesSubjective:BAR in kennel and brighter when out for short walksAssessment:Panting, possible spinal painPlan:Treatment:Overnight progress/summary:Client communication:Next update 5-6amEstimate:Financial Concerns:Resuscitation code:    Vital Signs    Weight: 14;