C09992976 / invoice 10000

Lump

Pet Primary Diagnosis/Suspected Diagnosis/Location: Bilateral otitis externa externa + R neck cyst
Suspect cause: Malassezia for ears, and suspected follicular cyst present on R neck 
Any other conditions being treated (if any): none 
Known health concerns: no other concerns
Date of first clinical signs (if known): ears ongoing, cyst just appeared but may have been present for longer



PawsApp Online appointment for unmatched client
Type: Lump assessment
Client Name: Smart
Mobile: 0476693065
Email: rsmart71@iinet.net.au
Patient Name: Ellie
Notes: Paws App Details:

Booking Type: Lump assessment
Booking Notes: Lump 

Owner Name: Ruth Smart
Owner Email: rsmart71@iinet.net.au
Owner Mobile Number: 0476693065

Pet Name: Ellie
Pet Species: Dog

MM:
CRT:
HR:
RR:
TEMP: 38.5C

R side of neck 
bilaterla yeast infection R worse than L 

MM:
CRT:
HR:
RR:
TEMP:
Looks OK

Mature bicth spey

Admitted: season fishined about 12 weeks ago

PreGA exam:
MM pink, CRT 1 sec
Dental stage 0
BCS 3
Ln wnl
HR 110
RR panting
temp 38.8
Normal vulva

Pre-GA blood test (blood from cephalic vein LFL)
CBC normal
Biochem normal

Premed
Acepromazine 0.47ml
methadone 0.95ml
S/C at 12.45pm

Induction:
Propofol 
ETT
Maintenance:
Isoflurane and O2 carrier

Surgery:
Mature bitch spey
Midline incision through linea
Both ovarian pedicles ligated with 20-0 Biosyn and transfixed with 2-0 Biosyn
Lots o bleeding from fat along the lione of the uterus. There was one spuriting vessles that was not located, but bleeding seemed to be self limiting by the end of the surgery.
Ligate uterus with 2-0 Biosyn and transfixed (was a bit loose so I did spoerate ligations on each side of the uterus to encompass the uterine blod vessles. No bleeding when retunred inside th body.
Still a slittle oozing from the fat, but acceptable (not excessive blood in the body when checked with swabs prior to closure).
Discussed with Dr IC and agreed not excessive

Metacam s/c injection on recovery 1.26ml

Ellie was still very drowsy by the time of her discharge appt at 6.30.
I was concerned in case of any internal bleeding. Ran CBC, no charge, to check. HCT 28 (previosuly for preGA was 45). Consistent with expected losses seen during surgery.
Discussed option to go to 24hr vet for monitoring this evening. O elected to mionitor MM colour, demeanour at home and call me if any concerns. CS to call o at 9pm to touch base.
O messaged Dr CS to adbvised Ellkie was going very well at home, eating, drinking, snuggling with the kids, and MM pink and CRT same as in clinic.

E-collar to be worn until post op check in 7 days
Exercise restriction until post op check > on lead only.