C09985759 / invoice 10000

REASON FOR ADMIT/ PROCEDURE: Sedn / soft pallate check / +/- sx

VOMITING: nil
DIARRHOEA: nil

FASTED: yes, last ate 8pm 2/3/26
VACCINATION: UTD
HEARTWORM PREVENTION: nil

ALLERGIES: nil
MEDICATION: nil

CONSENT TO SOCIAL MEDIA: YES/NO: Yes

ACP / methadone premed. 
Alfaxan induction / maintained on ISO + O2 / IV fluids during GA

Stenotic nares + elongated soft palate (not as bad as Alfie)

STO - given consent to perform BOAS procedure. 

Wedge resection of external nares - closed with 4/0 monosyn

Soft palate trimmed + closed with 4/0 monosyn. 

Given rimadyl injection post op 1.2 ml SC

Home with carprieve + amoxyclav + neurontin. 

PSC on Friday

ACP 0.3 ml / Methadone 0.6 ml IM premed

Reason: vac C5

History: 
still scratching a bit, tablets helped stopping scratching, slowly started 
seems to be after walking around the block, in the morning and at night
licking paws quite a bit 
lame on LHL occasionally
otherwise eddu v-d-

Examine:
Mentation: BAR             BCS: 5/9
HR: 120 bpm no murmurs
RR: chest clear shake 
Temp: 38.5 deg C          MM/CRT: p m <2s 
Lymph nodes: n
Eyes: n
Ears: n
Oral/teeth: clean
Abdomen: soft, comfortable
Musculoskeletal: Good ROM of RHL, mild medial buttressing of L stifle with very mild instability, L hip and stifle reluctant to  fully extend 
Integument: cranial chest small crusts + alopecia, no blood, interdigital skin erythemic but no broken skin

Assessment/Treatment: ok for vax 
gave Duramune C4 (5260010 21.08.2026) sc and protech BS orally (5245046B 09.10.2026) 
disc skin - suspect underlying allergy, disc allergy management (topical, cytopoint, pred). Dispensed sensitive skin shampoo to use as wet wipe after walks, and dispensed neocort to use prn, if still pruritic rv to redisc plan
disc LHL - monitor lameness, recc L stifle and hip rads if more frequent or worsens

Plan: rv as necessary