C09977637 / invoice 10000

Reason: Explore Wound YRS Aware (Gap Only)Appointment Notes: worming. RB to talk to O about yesterday insurance claim.Surgery/Procedure Admission Consent FormHas your pet eaten in the last 12 hours?: No Please list any prescribed medications your pet is currently taking and when they were last given.: Hx of liver shunt, fixed at lidcome hospitalI would like my pet to have a pre-anaesthetic blood test.: YesDo you consent to your pet getting an ear tattoo?: Not applicableProcedure details : Explore woundPhone: 0411 951 411Is this the preferred contact number? If not, please complete below: YesPrimary contact phone number: RimaEstimate : $1120.0View full form at https://api.vetcheck.it/share/AU_d1fa5c1d-7cc0-419a-9fa5-ac18ba69b94cVerified: NoPATIENT ADMISSIONHistory:- Wound on body - O noted it was being chewed/licked by patient, became elongated and dangly, tissue has come off completely but wound remains- PMHx: portohepatic shunt surgically corrected at ~4 months of age at referral hospital- O reports patient has brain damage from portohepatic shunt with abnormal behaviors, described as special needs- Vaccinations overdue (due November, last given April)- Fasted for procedure- No known allergies to medication- Otherwise well at home--- 03/03/2026 9:56:55 AM BRC: ncaPcv 32% clearExamination:NAD noted on presentation. Wound present with internal tissue visible.REASON FOR VISIT- Explore and debride wound under GA- Excise non-viable tissue and close if appropriate- Pre-anaesthetic blood test (liver function assessment given shunt history)- Annual vacc- E-collar dispensing if O does not have at home- AB injection PRN- Pain relief post-operativelyFinancial estimate discussed: $1,120 total including 30 min surgical time ($733), blood test ($171), vacc ($135), +/- AB injection. O aware sedation vs GA discussed but GA recommended due to need for sterile exploration of internal tissue. O inquired about dental assessment/radiographs - advised to schedule separately when dental procedure performed rather than today. O requested Bravecto Plus spot-on dewormer for dispensing - to compare pricing with pet shop before purchase.Laboratory: Chem 11 wnls PCV 32%Treatment: 0.3mg/kg methadone + 10mcg/kg medetomidine IM0.5ml aflaxan IVIntubated and maintained on iso/o2IVFT during sx Wound near scrotal regionBlunt dissection to explore initiallyInner tissue of what appears to be tunic and adipose tissue involved Removed any dry/dead tissueRemainder of tissue returned back Cut skin to healthy tissue for closure 2x 3-0 simple interrupted SC layer2x 3-0 cruciate skin sutures E-collar on until s/r Stable GA entire timeUneventful recoveryTGH with meloxicam 0.5ml SID for 3d. Ducat SC on recovery.    Vital Signs