C10028434 / invoice 10000

Reason: Hard Lump On Leg Came Up Over 3 Days Appointment Notes: Overdue reminders  ------- Sms reply: YHistory:Noticed a hard lump on the right forelimb Has had issues with the right forelimb for some time especially the carpus. Renae says that there is an increase in carpal varus now. EDDU normallyNo CSVD Other conditions:Ongoing heart disease - on history has been stableMedications: Cardisure, vetACE, spironolactone. Zydax injectionsExamination:Demeanour: BARMm pink moistCrt 1-2sThoracic 4/6 left apical systolic murmur. No crackles present EENT NADMSK Carpal Varus in the RFL, reduced range of motion during plantar flexion; aybe slight instability of the lateral carpus Assessment:Possible lateral collateral ligament instability complete vs partial degeneration/rupture. Discussed this with Renae what my thoughts were, but need to do some radiographs to see what changes are present such as arthritis or neoplasia. Plan:Admit tomorrow for sedation and radiographs    Vital Signs    Weight: 19.6;       HeartRate: 120;       DentalGrade: 2;       RespirationRate: 12;       CRT: 1-2;       MMColour: pink moist;       BodyScore: 5;