Rational for Facts:
1) 3yo, Pomeranian- young dogs and certain breeds are more susceptible to certain      
       diseases, this will be a learning issue
2) Lameness in right hind- indicates that injury is localized
3) Overweight (11.6lbs)- could potentially exacerbate any lameness by adding stress to 
joint, learning issue to determine average weight of breed
4) Fell off bed 1 year ago- could be initial cause of lameness
5) Lameness occurred and relapsed 6 mo later- indicates inability of body to heal on 
own
6) Tx with anti-inflammatory injection; no effect-indicates injury is unresponsive to pain 
med, and negates inflammatory process (i.e. prostaglandin release) as cause of pain
7) Non progressive lameness-rules out possibility of lameness due to progressive septic 
infection
8) Indoor dog, plays with other house dog-Ôrough housingÕ could be cause/exacerbation 
of lameness
9) Grade 3/4 intermittent non-weight bearing lameness of right hind-unsure of clinical 
importance of intermittent lameness, learning issue
10) Medial buttressing of right stifle-learning issue
11)  Cranial drawer negative on right- rules out cruciate ligament tear/rupture
12)  Easily luxated patella in extensionÑsomething wrong with patella, learning issue
13) pain response when testing left hind limb-possibly due to dogs temperament or could 
indicate passive injury
1) pain response with dorsal reflexion of tail, no pain response with direct pressure