╨╧рб▒с>■  (*■   '                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴ ┐├ jbjbjкjк ╚╚├       ]вввввввццццц Єцчъджжжжжж,╤Ї┼p╥в╥ЄввЄЄЄжввд╢╬ввввдЄ▓Єдввд  │╢цц╕:дGroup 11- Rationale for pertinence of facts 3 year old dog: Relatively young dog, not particularly at risk for degenerative joint problems or neoplasia. Also may indicate that problem is not necessarily congenital. Pomeranian: Toy breed dogs have a tendancy to have musculoskeletal problems. 11.6 pounds: Dog is a good weight for age and breed. Vaccinated regularly, dewormed 2 months prior, on heartworm preventative: Some diseases can be ruled out by the fact that the dog is vaccinated regularly. Has allergies treated with benadryl: Not pertinant to this problem. Fed small can of soft food per day: May suggest a nutritional problem Is an indoor dog: Suggests that the dog is not actively exercising outside which might further exacerbate the current problem. One other dog in the household: May suggest that dog is potentially exacerbating the current problem by playing with other dog. Trauma 1 year ago: Titan fell off a bed 1 year ago creating a weight bearing lameness on the right hind limb. This is important because the problem created by the trauma may be related to the current problem. Weight bearing lameness resolved one month after trauma: This is important to note because this may indicate the problem created by the trauma ,may be completely unrelated to current problem. Also, this is indicative that normal healing process is intact. No response to NSAID therapy: Important because a palliative treatment with anti-inflammatory is not successful suggesting that inflammation is not involved. Lameness static for 6 months: This indicates that the problem is not progressing and rules out any rapidly progressing problems. Also, may indicate that the initial problem didnТt resolve and that the condition is chronic. Medial buttressing on right stifle: Indicates thickening of fibrous capsule which is a chronic response by the body to counteract instability. Medial luxation of right patella upon extension: May indicate a congenital malformation or a possibly malalignment of the quadriceps complex. No pain response on spinal palption: May help rule out spinal cord problems. Right hind negative cranial drawer sign: Indicates that the anterior cruciate isnТt necessarily involved in the problem. Pain response when left patella luxation was attempted: May indicate that problem is not localized to right hind leg only. 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