C09998030 / invoice 10000

Present for surgery for lump removalpre-exam left ear OE - discharge, stenosis and erythema NAD on other earcytol - cocci 10-20/HPF, <5 Malassezia /HPF.  pre-med methadone 0.9ml, medetomidine 0.1ml IM - profuse nice sedationInduction 5ml Propofolintubate 10mx iso + 02, stablesurgical clip and clean chlrohex methselipitical incision 10mm margins around dermal growthhaemostasisclosure 3-0 vetafil SIlump submitted for histopathflush ears with otoflush adn treat with poloxomer gel 1.5mlplancarprofen 50mg po bid for 5 days, start this afternooncone (O has at home)RV in 1 week for suture check (possible removal) AND second treatment (no charge) to left ear keto/dex/baytril solution    Vital Signs    MMColour: Pink;       RespirationRate: 44;       HeartRate: 140;       HeadEyes: Abnormal (L ear OE);       Skin: Abnormal;       MusculoSkeletal: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       Demeanour: BAR;       BodyScore: 5;       CRT: 1-2;