Case 2

Case 2

May 12, 2010
By dvm360.com staff

Signalment
Spot is a 9-year-old castrated male terrier mix.

History
Spot is seeing you today for his routine annual examination. His owner does not think Spot has any problems other than he's slowing down a little—he seems to be a little slower on his walks and take a little longer to rise when he gets up from his dog bed. He is not receiving any medications or supplements other than a heartworm preventive, and he eats a high-quality commercial senior dog food. He has a good appetite, and no change in water intake has been noted.

Physical examination findings
• BAR (very friendly), T—100.3 F, P—70, RR—panting
• Lenticular sclerosis in both eyes, waxy debris in both ears
• Oral examination—pink gums, mild dental disease
• Mildly dry coat
• BCS 5/9, no change from previous visit
• Abdominal palpation reveals moderate hepatomegaly, no pain upon palpation
• Decreased range of motion in hip joints, no crepitus noted, mild muscle atrophy of pelvic limbs
• Rest of examination is unremarkable  

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