C09980893 / invoice 10000

Reason: D+, Has MCT. O To Book In Sx Appointment Notes: make sure well prior to surgery, most likely will book for FridayHistory: - Presented for diarrhoea for one week. Stool is watery, was previously green. Some improvement today after eating chicken. First part of stool is formed, then becomes watery. - Reduced appetite, described as "a bit offish", will eventually finish food. - Fed once daily. - Energy levels are slightly reduced, not as hyperactive as usual. - Vomited twice, white foam, after eating, prior to this visit. - Observed crying in the kennel on one night, possibly due to abdominal pain. - Scooting behaviour observed, raising concern for parasites or anal gland issues. - Mast cell tumour previously diagnosed via fine needle aspirate (FNA). Received an antihistamine injection at the time of biopsy. The diarrhoea started after this.Physical Exam Findings:BAR, slightly hyper during consult. MM/CRT pink/<2sNo obvious abdominal pain on plapation.No peripheral lymphadenopahty detected.Mass consitent with previous diagnosed MCTAssessment: - Problem list: 1. Diarrhoea (post-antihistamine injection for mast cell tumour biopsy). 2. Mast cell tumour. 3. Vomiting. 4. Reduced appetite and lethargy. 5. Possible anal gland issue vs. parasites (scooting).-> diarreha and vomiting may be secondary to histamine release associated with mast cell tumor, Gastric hyperacidity, stress related.Plan: - Prokolin PO (10ml twice daily). - If no improvement in diarrhoea within 1-3 days, will perform blood tests prior to surgery.; and gastrointestinal protection (omeprazole +/- sucralfate), H1 anti-histamine pre operatively (niramine) will be required - Plan for surgical excision of the mast cell tumour on Monday.  - Post-operative boarding is required due to construction at home. - Plan to address anal gland issues - Advised against bathing the dog before surgery.    Vital Signs    

Reason: Lump Check Appointment Notes: Overdue reminders  ------- Sms reply: YHistory: Noticed mass 5 days ago, O thinks it has gotten smaller by about half the size since then. Not bothering Archie at all Otherwise well, sometimes scoots. UTD with prevs, not currently has d+. Not scooting atmExamination: 2.5 cm raised, slightly erythematous, subcut, well circumscribed, non alopecic mass in the left thigh fold (easier to feel when he is sitting). No associated increase in inguinal or popliteal lymph node. No other masses noted but quite wriggly for examLaboratory: round cells with scattered eosinophils and both intracellular and extracellular granules +++++++Assessment: Histiocytoma vs MCT? Treatment: niramine 2.5 ml sc Plan:Send off for cytologyCall George with results--- 28/02/2026 10:44:42 LK0:INTERPRETATION:Mast cell neoplasia, see comments.COMMENTS:The mast cells present in the sample are mostly well-granulated, and do not demonstrate atypia. Whilst subcutaneous mast cell tumours are apparently less aggressive than their dermal counterparts, expected behaviour is largely dependent on the mitotic count, which cannot be determined cytologically. Biopsy for histopathology is recommended for further evaluation. It should be noted that all mast cell tumours (including rare histologically low grade tumours) may demonstrate aggressive biologic behaviour and thus should be treated with caution. Also consider evaluating any sentinel lymph nodes.Assessment: recc excisional biopsy and FNA of sentinel lymph nodes. Should be ok to get adequate margins at location however high motion area so may experience tension (stretches over the stifle when sitting) Client Communication: discussed the above, surgical excision vs stelfonta. O requested estimates for both and well further information. Send emails--- 02/03/2026 15:56:25 LK0: Discussed surgical vs stelfonta. Opted for surgery, O will double check with partner and book in the morning Recc to give chill pills to keep well rested or potentially board in the clinic in the day time --- 02/03/2026 16:02:24 LK0: Talked to wifeSlower to eat his food for the past day. V+ with white foam the other day, but singular incidence Yellow d+ for the past 4 days, no blood. Recc to start on prokolin + bland diet Recc to book in for health check prior to surgery as sometimes lethargic - booked Difficult to give tablets, so can potentially do metacam liquid but chill pills are tablets Give niramine prior to MCT surgery    Vital Signs    Weight: 49.7;       

Appointment Notes: Booked Online: 10/12/2025 12:27:24 PMBooking Type: VaccinationHistory: Doing well at home, here for vax and proheartExamination: BAR NADPE exuberant. Clipped nails where a bit longer on O request.Assessment: Healthy for vaccinationTreatment: KC intranasal, Proheart 2.7ml SC dorsal mid-torsoConsent has been given by the client to proceed with this treatment  -  Yes    Vital Signs    Weight: 52.6;