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So this is a 6-year-old neutered male Labrador, presenting with progressive left hindlimb lameness over the past three weeks. The owner reports it worsened significantly after a walk two days ago. On palpation, marked joint effusion in the left stifle with a positive cranial drawer sign at 30 degrees of flexion. Approximately 4 millimeters of cranial translation. Tibial thrust is also positive.Contralateral stifle shows mild effusion with an equivocal drawer, early partial tear suspected. Hips and hocks unremarkable bilaterally. General condition: bright, alert, responsive. BCS 5 out of 9. Mild muscle atrophy left quadriceps compared to right. Assessment: complete cranial cruciate ligament rupture, left stifle. Recommend referral for TPLO surgery. Meloxicam prescribed for pain management.So this is a 6-year-old neutered male Labrador, presenting with progressive left hindlimb lameness over the past three weeks. The owner reports it worsened significantly after a walk two days ago. On palpation, marked joint effusion in the left stifle with a positive cranial drawer sign at 30 degrees of flexion. Approximately 4 millimeters of cranial translation. Tibial thrust is also positive.Contralateral stifle shows mild effusion with an equivocal drawer, early partial tear suspected. Hips and hocks unremarkable bilaterally. General condition: bright, alert, responsive. BCS 5 out of 9. Mild muscle atrophy left quadriceps compared to right. Assessment: complete cranial cruciate ligament rupture, left stifle. Recommend referral for TPLO surgery. Meloxicam prescribed for pain management.
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General
Cardiology
Orthopaedics
Dermatology
Neurology
Internal Medicine
Ophthalmology
Emergency
General conditionGeneral

BAR, well hydrated. BCS 5/9. Mucous membranes pink and moist, CRT < 2s. No nasal discharge. Peripheral lymph nodes within normal limits. Abdomen soft, non-painful on palpation. No organomegaly detected.

CoughingCardiology

Intermittent dry cough, worse at night and after exercise. No haemoptysis. Duration: 3 weeks, progressive.

Lameness ScoreOrthopaedics
3/5 - Moderate, obvious at walk
Body systems examinationGeneral
Eyes
NAD
Ears/Skin
NAD
Oral Cavity
ABN
Thorax
NAD
Abdomen
NAD
Locomotor
ABN
Heart murmur gradeCardiology
III/VI
Lesion distributionDermatology
FaceEarsVentral abdomenPawsAxillaeDorsum
Drawer SignOrthopaedics

Positive cranial drawer left stifle under sedation. Approximately 5mm cranial translation. Negative right stifle.

Mucous membrane colourGeneral
Pink
Cardiac vitalsCardiology
Heart rate140 bpm
Respiratory rate36 /min
Systolic BP145 mmHg
Consciousness levelNeurology
Alert
Surgical CandidateOrthopaedics
YesNo
Triage vitalsEmergency
Heart rate160 bpm
Respiratory rate48 /min
Temperature39.8 °C
Pruritus scaleDermatology
Moderate
Auscultation findingsCardiology

Grade III/VI systolic murmur, loudest at left cardiac apex. Regular rhythm. Mild crackles bilateral caudodorsal lung fields.

Free fluid detectedEmergency
YesNo
Cranial nervesNeurology
Menace response
NAD
PLR
NAD
Gag reflex
ABN
Facial symmetry
NAD

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Avg. per week

4

Patients seen

67

+2
Consultations

142

+3

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Mrs. Sarah Mitchell, 14 Oak Lane, London SW1 2AB. Phone: 020 7946 0321. Luna, Golden Retriever, 3 years old. Left hindlimb lameness, cranial drawer positive.Mr. James Walker, 8 Elm Drive, Manchester M1 4BT. Phone: 0161 496 0852. Milo, Siamese, 2 years. Grade III systolic murmur. Echocardiography scheduled.Mrs. Emma Taylor, 22 Bridge Road, Edinburgh EH1 3DQ. Phone: 0131 225 4367. Rex, German Shepherd, 4 years. Annual vaccination and dental check completed.Mr. David Chen, 5 Park Square, Bristol BS1 5NR. Phone: 0117 329 0412. Noisette, Holland Lop, 2 years. Dental malocclusion, incisor trimming performed.Mrs. Sarah Mitchell, 14 Oak Lane, London SW1 2AB. Phone: 020 7946 0321. Luna, Golden Retriever, 3 years old. Left hindlimb lameness, cranial drawer positive.Mr. James Walker, 8 Elm Drive, Manchester M1 4BT. Phone: 0161 496 0852. Milo, Siamese, 2 years. Grade III systolic murmur. Echocardiography scheduled.Mrs. Emma Taylor, 22 Bridge Road, Edinburgh EH1 3DQ. Phone: 0131 225 4367. Rex, German Shepherd, 4 years. Annual vaccination and dental check completed.Mr. David Chen, 5 Park Square, Bristol BS1 5NR. Phone: 0117 329 0412. Noisette, Holland Lop, 2 years. Dental malocclusion, incisor trimming performed.
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