C10025815 / invoice 10000

Reason: Limping On & Off CCLH 10/3 Appointment Notes: limping on & off, thinks possible could be a cruciate issue, unsettled, eddu, qar, clinic ok'd to book CCLH 10/3Subjective: sudden onset lameness rhl overnight otherwise wellKristina thinks patella popped out alsoObjective: Coat and skin: appear normalEyes: appear normalEars: appear normalNose and throat: appear normalMouth, teeth and gums: Appear normalLegs and paws: pain on cranial draw test right knee but couldn't get instability (too painful)Gait: limping rhl still weight bearingHeart: Normal on auscultationLungs: Normal on auscultationAbdomen: Normal on palpation and auscultationGastrointestinal system: appears normalUrogenital system: Appears normalLaboratory:Assesment: right knee suspect aclAddisons stableNormal physical examPlan:Discussed suspected acl rupture which can cause patella luxationPartial vs complete vs sprain strain etcPlan at this stage nsaids and restBooked in for dental next week if still limping then xray back legs knees, if confirmed acl disease discussed surgery vs non, extra capsula vs tplo and complications such as implant failure infections patella luxation worse. Djd and meniscal tears. Discussed addisons with recovery.If confirmed acl then will book in for sx on a tuesday in the next few weeks    Vital Signs