C09977226 / invoice 10000

Reason: presented for stifle rads to assess clinical MPLSedation: dexdom 200mcg/m2, butorphanol 0.3mg/kg administered i/mAdditional dexdom 100mcg/m2 administered after 20min as little effect from first sedationGood level sedaitona chievedCephalic IVC placedFlow by  mask O2 throuhout procedureReverse antipam on recoveryLaboratory: collectsample for profile 1aDiagnostic Imaging: rads obtained of L+9R stifle lat and PA, 9 pelvis / femurs DVSevre varus of distal femur L sifle - approx 45degreesSevere OA already in L stifleL tibia thursted cranially relative to fmeur (minor insta ility noted on palpation)Marked med deviation patellaR femur appro 25degree varusMinimal OSAssessment: severe femoral bowing and MP L side with severe OA and liekly CCl damageModerate bowing with gr4MPL R femurSupsect femurosteoptomy will be required on L sidePlan: send rabds to EB for evalPlan to book surgical correction with EB at end of month    Vital Signs