C10032930 / invoice 10000

HISTORY:Bruno acutely became lame on his right hind leg. They were in the garden, he cried out in pain suddenly and couldnt settle or put weight on his right hind leg. On arrival he is reluctant to sit down and stand up, cries out when he tries but able to put weight on his right hind leg.Current meds: nilProphylaxis: UTDPre-existing conditions: nilAccess to toxins eg. Rodenticide: nilTRIAGE:HR: 150RR: pantTemp: 39.0Mm: pinkCrt: <2Mentation: BARPain Scale (0-4): 2/4Hydration status (%): hydration clinically adequateEXAMINATION:Body Condition Score: 5/9Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gaitMusculoskeletal: weight bearing but lame on right hind leg, negative cranial drawer test, hip is painful on rotation and extension, reduced range of motion of the right hipGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4):  1- Abdominal: no detectable pain on abdominal palpation, normal gut sounds- Rectal: no detectable abnormalities, faeces:  normal Urinary: NSFReproductive (incl ext genitalia): NSFIntegument/Ears: NSFLymph Nodes: peripheral lymph nodes normalEyes: NSFPROBLEM LIST:weight bearing but lame on right hind leg, negative cranial drawer test, hip is painful on rotation and extension, reduced range of motion of the right hipDIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Hip displasiaHip luxation/subluxationCruciate ligament injuryDIAGNOSTICS:NilASSESSMENT:Suspected hip displasiaTREATMENT:Methadone 0.3mg/kg SC1.00 x Meloxicam Oral Suspension 30mLDose to 41  Mark ONCE daily ONLY WITH FOOD. Start Thursday evening, continue for 3 days. CEASE MEDICATION IF VOMITING OR DIARRHOEA OCCURS & Contactyour veterinarian.10.00 x Gabapentin 300mg Capsules TWO (2) tablet twice a dayPLAN:Bruno is going home with pain relief and sedation for strict rest over the weekend. Reassessment with reg vet on Monday and recommend GA Xrays of the hips and back legs.    Vital Signs