Internal note
Recheck in 15 days.
History
Medical history
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Current treatments
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Previous surgeries
Allergies
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Food
Drug
Other
Blood pressure
SBP
mmHg
DBP
mmHg
MAP — mmHg
Method
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Doppler
Oscillometric
High-definition oscillometric
Cuff
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1
1.5
2
2.5
3
3.5
4
4.5
5
Position
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Left fore
Right fore
Left hind
Right hind
Tail
Procedures & products
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€0.00
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Behaviour
Demeanour
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Normal
Depressed
Aggressive
Anxious
Interaction
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Normal
Reduced
Absent
Procedures & products
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Presenting complaint
Left forelimb lameness, stiff on rising
Symptom onset
1-3 days
< 24h
1-3 days
> 3 days
Chronic
Progression
Worsening
Improving
Stable
Worsening
Diagnosis
Primary diagnosis
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Cystitis
Chronic kidney disease
Gastroenteritis
Otitis externa
Allergic dermatitis
Shell fracture
Heart failure
Diabetes mellitus
Conjunctivitis
Pyoderma
Differential diagnosis
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Cystitis
Chronic kidney disease
Gastroenteritis
Otitis externa
Allergic dermatitis
Shell fracture
Heart failure
Diabetes mellitus
Conjunctivitis
Pyoderma
Weight
kg
↗
+3.90 kg in 3 years
BCS
Select
1/9
2/9
3/9
4/9
5/9
6/9
7/9
8/9
9/9
MCS
Select
1 · Severe wasting
2 · Moderate wasting
3 · Mild wasting
4 · Normal mass
Diet
Target weight
kg
Musculoskeletal
NAD
Left fore
Normal
Lameness
Pain
Swelling
Atrophy
Right fore
Normal
Lameness
Pain
Swelling
Atrophy
Left hind
Normal
Lameness
Pain
Swelling
Atrophy
Right hind
Normal
Lameness
Pain
Swelling
Atrophy
Spine
Normal
Pain
Stiffness
Left fore
Grade
Grade 3 — obvious lameness, weight-bearing
Character
Chronic
Joints
Shoulder
Elbow
Carpus
Digits
Procedures & products
Total incl. VAT
€0.00
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Prescription
Procedures & products
Total incl. VAT
€0.00
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Add a prescription
Blood panel
Add a test
Temperature
°C
●
Normal
Rectal
Ear
Chip
General exam
NAD
General condition
Good
Good
Fair
Poor
Very poor
Mucous membranes
Pink
Pink
Pale
Congested
Icteric
Cyanotic
CRT
2 s
1 s
2 s
3 s
> 3 s
Dehydration
None
None
5%
6-8%
10-12%
12-15%
Vaccination
Current vaccines
DHPPi/L
Last 20/07/2025 · Due 20/07/2026
Up to date
+
Rabies
Last 20/07/2025 · Due 20/07/2026
Up to date
+
Kennel cough
Last 02/02/2025 · Due 02/02/2026
Overdue
+
Procedures & products
Total incl. VAT
€0.00
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Add a vaccine
Cardiac exam
bpm
NAD
Murmur
Select
Timing
Systolic
Diastolic
Systolic-diastolic
Location
Left apical
Left basal
Right apical
Right basal
Intensity
1/6
2/6
3/6
4/6
5/6
6/6
Arrhythmia
Select
None
Extrasystoles
Atrial fibrillation
AV block
Other
Procedures & products
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Parasite treatments
Latest parasite treatments
External
NexGard (afoxolaner)
12/03/2026
+
Internal
Milbemax (wormer)
05/01/2026
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External status
Select
Up to date
Not up to date
Unknown
Internal status
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Up to date
Not up to date
Unknown
Procedures & products
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Consultation
CM
· 02/10/26 10:30
Left forelimb lameness
Sésame
·
Claire Roche
Consultation
Prescription
Invoice
Presenting complaint
Left forelimb lameness, stiff on rising
Symptom onset
1-3 days
< 24h
1-3 days
> 3 days
Chronic
Progression
Worsening
Improving
Stable
Worsening
Temperature
°C
●
Normal
Rectal
Ear
Chip
Musculoskeletal
NAD
Left fore
Normal
Lameness
Pain
Swelling
Atrophy
Right fore
Normal
Lameness
Pain
Swelling
Atrophy
Left hind
Normal
Lameness
Pain
Swelling
Atrophy
Right hind
Normal
Lameness
Pain
Swelling
Atrophy
Spine
Normal
Pain
Stiffness
Left fore
Grade
Grade 3 — obvious lameness, weight-bearing
Character
Chronic
Joints
Shoulder
Elbow
Carpus
Digits
Procedures & products
Total incl. VAT
€0.00
+
Add a Treat
Complete consultation