C09986393 / invoice 10000

Reason: ChryptorchidAppointment Notes: ABXConsent form sent 3.3 twAdam 0409 813 920Subjective:Objective:HR:RR:MM/CRT:Temp:ASA status:Anaesthesia:Premed with 0.08ml Medetomidine and 0.4ml Methone (meg checked methone)Induction with propofol 10ml IVIntubated (size 9.0 ET tube) and maintained on 2% isoflurane in 100% O2Anaesthesia started @Surgery: Midline incision just cranial too and extending just beside the prepuce.Testical found sitting behind the bladder. Exteriorised and ligated with 2-0 Monoplus with 2 ligatures. Spermatic cord ligated seperately. Closed with 2-0 Monopllus on linea and 2-0 Monosyn for subcut and intradermals. 0.1ml Medetomdine given during Op as tried to leap off the table. Prescrotal incision, tunic incised and right teste exteriorised, spermatic cord and vascular bundle ligated with 2-0 monoplus and teste removed. SC layer closed with 2-0 monosyn simple continuous pattern. Skin closed with 2-0 Monosyn in intradermals.Surgery finished @Anaesthesia finished @RecoveryMedications:Meloxicam 0.8mL SC @Plan:Remove dressing + Sx site check in 3-5dVet checked bill: NKNurse checked bill: <initial>    Vital Signs    Weight: 20.25;       

Reason: HW BoosterAppointment Notes: ABXDue 6m HW booster. Brought in by Os fatherExamination: BCS 4/9BARP.M crt <2sDentition normal1 descended teste, palpably normal. Could not palpate other in inguinal canalAssessment: Discussed cryptorchidism; unlikely to descend if it has not by now. Likely abdominal.Discussed desexing- comfortable doing anytime going forward as >6m. - Est $1,160 for abdominal castrate. Discussed small risk of not being able to find teste if particularly hypoplasticTreatment: 0.9ml proheartPlan: First adult booster + HW due q9mOs to book cryptorchid castrate    Vital Signs    

SMS for HW booster due    Vital Signs