C09970992 / invoice 10000

Reason: Admit- Suspect TRA- O Transf 8:30Appointment Notes: Special payment terms existSHIFT CHANGE 0600-1600VET: Dr Nerida Warburg BVSc(Hon) Day of and reason for hospital treatment:EXAMINATION:Mentation - QARCardiovascular status - HR=96 pulses normal. Mm sl pale pink, moist crt=1-2Respiratory - 20 at rest, normal effort. No coughing seenHydration/volume status: - wnl Temperature - 38.7Weight/change - 24.7 post urination/walk ( was 25.2) Abdo -  empty, non painful, difficult to feel well as deep chestedMusculoskeletal - ambulatory wnl Neurological -  NSFEyes/Ears/Skin -  Marked swelling L face & neck, swelling firm caudal jaw & extends across midline, unable to feel LN's distinctlyUrogenital/urine output -  urinated good volume yellow on walkNutrition - NPO since 0200, ate well 0100Problem list: L neck/facial swelling LethargyCoughingPrefer soft foodASSESSMENT and Differential diagnosis: Mass possibly more caudal than tooth root abscess. Normothermic. DDx: salivary mucocoele, inflammatory - granuloma/abscess/cellulitis, FB such as grass seed, neoplasia, otherDIAGNOSTIC SUMMARY PLAN: No further this am - to reg vet TREATMENT PLAN: Off IVF 0830O Contacted and Account update: Update on arrival Primary Vet contacted and update: Email hx when completed    Vital Signs    

Reason: Admit- Suspect TRA- O Transf 8:30Appointment Notes: Special payment terms existSHIFT CHANGE 2100-0700VET:  {AK}ASSESSMENT:See Sf for TPRResp stable overnight, no inc effort or coughing. Eaten well overnight, NPO from midnight. TREATMENT PLAN.changes to plan:IVFT hartmanns @ 40mL/hrParacetamol 10mg/kg IV q 8hrCefazolin 22mg/kg IV q 8hrO Contact required overnight? - NoTransfer details/stay on/discharge from AESO transfer @ 8:30 amd to CH    Vital Signs    

REASON: Coughing, mass on left jaw, not wanting to eatTime: 630pm AES Vet: Vincent ChanRegular clinic: Channel Highway Animal HospitalHISTORY:- Presented for a large mass on the left neck, caudal to the mandible.- The mass has rapidly increased in size over the last two days.- Associated coughing and feeling generally unwell.- Reluctant to eat, preferring soft food only. Reduced water intake.- No significant past medical history.- Insured with Medibank.- Owner remarked the dog was very lethargic and flat this pm EXAMINATION:HR: 110 bpmRR: 30 bpmTemp: 38.7cMM: Pink, moistCRT: 2 secondsMentation: Bright and alertPain Scale: 9 Hydration status (%): Mild dehydration Weight: 25.25KgBody Condition Score: 5Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gaitMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal: - Oral: Marked periodontal disease and halitosis. Reluctant to open mouth, which appears painful. Malodorous scent noted from the left side. - Abdominal: no detectable pain on abdominal palpation, normal gut sounds - Rectal: no detectable abnormalities, faeces:Urinary: bladder size normalReproductive (incl ext genitalia): desexed, prepuce/vulva normal anatomyIntegument/Ears: clean furcoat no evidence of otitisLymph Nodes: Left mandibular lymph node enlarged. Other peripheral lymph nodes normal size/shape & not painful.Eyes: clear corneas, nil discharge or blepharospasm- Ate treats during the consultation.ASSESSMENT AND PLAN:1. Large, rapidly growing left submandibular mass- Diagnosis is a likely tooth root abscess.- Masticatory muscle myositis considered less likely as jaw is not tense and able to eat.- Admit to hospital for intravenous antibiotics and analgesia.- Plan for emergency dental surgery to resolve underlying dental disease at regular vet next week CLIENT COMMUNICATION:- Discussed likely diagnosis of a tooth root abscess and the need for dental surgery.- Discussed owner's concern regarding potential airway compromise from the abscess.- Advised admission for IV therapy and stabilisation prior to surgery.DIAGNOSTICS:Full bloods takenUnlisted parameters are WNL WBC elevatedNeutrophils elevatedGLOB elevated PCV/TP - 47/85ABL unremarkable FNA of the abscessMarked NeutrophilsMarked blood contaminationsSome scant bacteria noted - cocci predominantly TREATMENT:- Admitted to hospital.- IV fluids at BMR.- IV Cefazolin.- IV Paracetamol.- Meropenem to be considered if required.PLAN:- Owner to contact regular veterinarian (Channel Highway Animal Hospital) on 02/03/2026 to arrange for emergency dental surgery.- If the regular vet is unable to perform the procedure, the owner will transfer Friss to North Hobart or another veterinary clinic for the surgery.- Owner will collect Friss from the clinic at 08:30 for transfer.- Financial estimate provided: up to $2500 for the first 12 hours of hospitalisation. - An additional $800-$1200 will be quoted for each subsequent 12-hour period if required. Owner consented to the plan and associated costs.    Vital Signs    Weight: 25.25;