C09988898 / invoice 10000

Appointment Notes: Angus (Dog) - Consultation [Veterinarian : 1 Consult(No Preference)] - Eye skin irritationWeb BookingClient name: Amanda PorterContact number: 0459223055Email address: amanda.buchanan7@gmail.comPatient name: Angus Original Appointment Type: Consultation  ------- Sms reply: Yes  ------- Sms reply: YESHistory:O removed sutures herself (human medic) Apoquel daily last week 16mg SID Was using PRN Eyes and face very irritated Malaseb wash - no improvement Nepocort for itchy paw Mds fluoxetine and apoquel DUDEDietMedicationPrev medical hx Parasite prophylaxis Vaccines Examine:_ARBCSMM pink CRT 1s TeethHR_ + ausc WNL RR, resp sounds + effort WNLAbd palp NADPalpable LNs WNL Eyes NAD Ears NAD Skin/coat NAD Musculoskeletal NAD Neurological NADTemp Problem list:Differential diagnosis:Laboratory:Assessment:Treatment:Plan:    Vital Signs    Weight: 29;       

Correction to Methadone from 6/2/2026    Vital Signs    

Reason: Wound On SideAppointment Notes: Overdue remindersHistory:Dog presented with wound on right side / flankO  found when coming home, woulld hav happened in the afternoon. Was in garden. Unknown cause.Eating and drinking normallyNo vomiting or diarrheaNo coughing or sneezingNormal energy levelsUrination normalEndo- and ectoparasite prevention: UTDExamine:Active and alertEyes and ears cleancrt<2, pulse normal, mm pink and moistHeart and resp sound normalAbd palp: soft and painlessLnn feel normalSkin: 4x4x3 angular fresh woundTreatment:Plan:- admit for stitch up- handed over to AV- O agreed to estimate 1800-2400- Dog to stay overnight so that carer does not need to collect late evening- To call O after procedure- tentative discharge booked for tomorow 11.45, vet consults full, so booked in nurse column. Can call carer to change time in morning if neededReason: Stitch Up - afterhoursTreatment:Premed 0.01mg/kg medetomidine 0.4mg/kg methadone SCPropofol inductionIsoflurane maintenance Hartmanns 5ml/kg/hr during procedureUneventful anaesthetic and recovery Large triangular wound R flank - cranial skin flap with central bruising, pocketing cranially, no pocketing ventrally Wound clipped, flushed thoroughly with 1% chlorhexidine solution, edges of skin flap debrided, SC sutured 2/0 monosyn to close dead space, skin closed with 2/0 supramid cruciate sutures 0.1mg/kg meloxicam SC on recovery Plan:Hosp overnight carer to collect tomorrow morning TGH with oral metacam and 10d amoxyclavE collar at all times Suture removal in 10d Recheck sooner if concerns - discussed risk of small bruised area of tissue progressing to necrosis, seroma formation - carer to monitor, email photos of wound if concerned--- 12/02/2026 14:30:51 FL:Fyl called and left a voice message on jacobs phone to let us know if he would like credit refunded or leave inb credit.A note must be made if client would like file left in credit    Vital Signs    Weight: 30.2;