C09974864 / invoice 10000

HISTORY: left msg to see how she is 

called back - good statistics for treatment - CHOP protocol - prednisone at home - weekly appts at SASH currently,  adv O to call us if any issues

NOTES: Hx:
EDDU 
owner presented due to thinking she has an enlargement on her neck - thinks its a lymph node 
she said its come up in the last few days. dog has been well otherwise and no concerns 
has a few other lumps and bumps on her that she has always had 
no vomiting, diarrhoea or coughing. 

PE:
BAR
BCS:6/9
Integ/aural/ocular: clear no discharges, no erythema, lump on right zygomatic arch region - mobile soft - possible lipoma - about 1cm 
Lymph: all peripheral LNs swollen 
- popliteal 2cm bilaterally 
submandibular 3cm bilaterally 
prescapular 2cm bilaterally 
inguinal Lns palpable 

Dent: 2/4 teeth, worn teeth with moderate calculus 
Cardio: 104BPM, clear PR: SS, no audible murmur heard 
Resp: panting, clear bronchovesicular sounds, no cough on tracheal palp, 
Abdo: comfortable no pain or organomegaly palpated 
Urogenital: clear, no discharges, swellings etc
Temp: 38.7

Plan:
biopsy and FNA lymph nodes and then sending off for histopath and immunohistochemistry for T and B cell if confirmed 

Sedation:
10mcg/kg medetomidine and 0.3mg/kg methadone IM - sedation good 
induction alfaxalone 

right prescapular region was surgically prepared 
Taken 6mm punch biopsy of right prescapular Lymph node 
sutured closed with nylon 2/0 in cruciate pattern 2 stitches 

taken FNA of all other Lymph nodes to be sent with biopsy incase insufficient for diagnosis 
owner has booked referral with SASH for monday in a week 
for oncology 

bloods performed:
blood smear performed - platelet clumps in peripheral smear.

HISTORY: Reason: Client COmms


Hi Jaime,

Thanks for the photos. That incision has now healed perfectly. No further action is required. Please adhere to the rehab plan suggested by the surgeon and they will perform x-rays at the 8 week mark. If you have any further worries, don’t hesitate to reach out. 

Kind regards,

 

From: jaime connochie <jaime.c.97@hotmail.com> 
Sent: Tuesday, 26 August 2025 4:42 PM
To: admin@lornvets.com.au
Subject: Juno wound picture

Good afternoon,

Last week my dog, Juno came in to have her stitches removed and there was some concern about redness and swelling around the wound. 
I was asked to send through a photo after she finished the antibiotics.
She seems good, and I believe the redness has reduced. Let me know if you need to see her again.

Kind regards,
Jaime Connochie

Sent from Outlook for Android