C09984729 / invoice 10000

Reason: Painful On RHLHistory:- Was on a walk then suddenly yelped.- O unsure which leg was limping but was not putting weight on it- Came to clinic straight away Physical Exam:BAR, mms pink and moist, CRT <2sBCS: 3/5Femoral pulses: Strong and synchronusCardiorespiratory: No murmurs or arrhythmias auscultated, clear lung fields Abdominal palpation: non-painful, no enlarged organs, masses or other abnormalities palpated Lymph nodes: small, soft, symmetricalIntegument: Normal coat, no ectoparasites detected Musculoskeletal: Ambulatory, no lameness noted, no joint effusion, no pain on palpation, extension or flexion. Assessment:Soft tissue injury vs fracture vs dislocation etcDiscussion:Option:1. Pain relief + strict rest. If no improvement then x-rays needed. 2. Admit for radiographs nowO elected option 1. O also wanted an anti-emetic to help with the car ride home as dog gets car sick and it is an hour drive Treatment:Maropitant 1mg/kg given SCStrict restOnsior 10mg PO SID    Vital Signs    Weight: 7.6;       Temperature: 39.4;       HeartRate: 160;       

Reason:  recheck desexHealed well - no signs of infection or inflammation EDDU, BAR and no VDSCCan go back to normal routine    Vital Signs    

Reason: Desexing Procedure Medications Given: Pre op PE normal O declined bloods and fluidsPremedicated with methadone 0.17mI and ACP 0.08ml IMInduced with alfaxan 0.85ml IVIntubated with ET size 5.5Maintained with isoflurane Surgery: for anaesthetic details see sheet.Routine open castration performed.Prescrotal incision, testes exteriorised. Both spermatic cords ligated with 3-0 pds. Intradermal sutures of 3-0 pds placed in skin.Uneventful recovery.given Meloxicam injection 0.21ml SC post opHome with Metacam 0.5mg PO SID for 3 days Recheck in 7 daysProcedure: Both ears erythema with brown discharge Called 0 - explained most likely ear infection, gave price - about $110 extra. O consented Cytology revealed - yeast malassezia +++ and some cocci Home with dermotic 0.5ml BID for 7 days - recheck in one weekPhone call:  Discharge:  by CL. (template)Explained meds and post op care Keep wound dry and cleanmake sure he doesnt lick or will need e- collar. Check wound once daily for discharge Recheck in one week--- 5/12/2024 9:51:28 AM EW1:Post Surgery Recall - Resolved - Recall sms sent as no answer on recall    Vital Signs    Weight: 5.2;