C09990345 / invoice 10000

Reason: LumpectomyPrep Profile II results:CANINEALP    68       (20-150 U/L)ALT    30       (10-118 U/L)BUN   4.8       (2.5-8.9 mmol/L)CRE     54     (27-124 umol/L)GLU     6.6*     (3.3-6.1 mmol/L)*TP     82       (54-82 g/L)QC  okHEM    2+   LIP   0    ICT  0WBC   10.11  10^9/l (6.00-17.00)LYM    1.52  10^9/l (1.00-4.80)MON  0.55   10^9/l (0.20-1.50)NEU    7.78  10^9/l (3.00-12.00)EOS   0.16   10^9/l (0.00-0.80)BAS    0.11  10^9/l  (0.00-0.40)LYM%  15.0  % (0.0-100.0)MON% 5.4  % (0.0-100.0)NEU%  76.9  % (0.0-100.0)EOS%  1.6  % (0.0-100.0)BAS%  1.1  % (0.0-100.0)RBC    7.06   10^12/l (5.50-8.50)HGB    17.3   g/dl (12.0-18.0)HCT     44.81   % (37.00-55.00)MCV   64     fl (60-77)MCH    24.5+    pg (19.5-24.5)+MCHC    38.6  g/dl (31.0-39.0)RDWc  20.6+   %+RDWs   42.2   flPLT    502+    10^9/l (165-500)+MPV   9.1     fl (3.9-11.1)PCT     0.46    %PDWc  36.2   %PDWs  12.7   flPrVW   339/342PrVR  331/333PrVE  280/284WBC Lyse   0.55mlLyse 2  3.50mlAcepromazine (0.05mg/kg = 0.20ml)/Methone (0.30mg/kg = 0.20ml) sq premed, IV fluids commenced via 22 g catheter, then induction with Thiopentone 5% solution IV to effect ( 2ml). 6.0 mm ET tube placed, then anaesthesia maintained with O2/isofluorane. Anaesthetic monitored by trained veterinary nurse aided by pulse oximeter, oesophageal stethoscope and thermometer, and apneoa alert.Routine lumpectomy via RIGHT parapreputial incision. Mass submitted to vetnostics for histo. Wound edges apposed with 0 supramid cruciate sutures.Smooth recovery from anaesthesia.------------------------------------------------------------------------------------------------------------------------------------Surgical Discharge InstructionsDear Miss Galea,Today your dog Billy has had a general anaesthetic and surgery. At first you may notice that he is a little sleepy and quiet. Billy may even seem a little bit disorientated or uncoordinated. This is not unusual and will pass with time. You can offer him some food and water, but don’t be surprised if it is not eaten tonight.To minimise inflammation and pain, and to aid healing;Keep Billy confined as much as possible for the first few days following surgery, and do not bathe or allow to swim,Check his wound daily for any unusual redness, swelling or discharge,Please make an appointment for suture removal and a quick check 10 days after the operation, unless otherwise advised. There is generally no charge for this, and is very quick and painless!Please contact us if:	Billy continually bites, licks or scratches at his wound,	You notice any abnormal redness, swelling or discharge,	Billy is not eating within 24 hours, or is vomiting, or appears constipated.We can help!Further Instructions: No swimming or bathing until suture removal Suture removal in 10-14 days Keep e-collar on until suture removal Medications: Meloxicam 0.90ml Oral Solution- Please give one syringe (0.45ml) by mouth each morning WITH FOOD. Starting tomorrow morning. (Friday 06/03/2026)Kind regards,Nurse Bec & Maddy     Vital Signs    Weight: 7;       MMColour: p+m;       Temperature: 28.2;       HeartRate: 200;       BodyScore: 7/9;       DentalGrade: 2/4;       RespirationRate: shake;       CRT: < 2 sec;