C09999406 / invoice 10000

EDU as pe normalNo faecesJust very sleepy

Have reminders been checked? Y - UTD Admitted for lump removal and scale and polish Pre GA bloods: O declined Pre-med:Medetomidine 0.01mg/kg (0.11mL) + Meth 0.3mg/kg (0.35mL) IM @ 9.19am - effective sedation 20G catheter placed into the right cephalic veinInduced with alfax 1.2ml IVIntubated with a 8.5mm ET tube and maintained on isoflouraneHartmanns @ 69mL/hr IVFTRoutine anaestheticSurgery:Elliptical incision around lump on tailSharp dissected lump out - suspect cystic lesion asblack material came out Released SC layer and was able to close some of the way but not get enough apposition without tension. Placed 2 x simple interrupted sutures in SC layer and left skin open Covered with melonin and fixamil   Routine scale and polish of teeth No pocketing, no extractions Missing lower left and right PM's - no signs inflammation or trauma Routine recovery from GA0.1mg/kg meloxicam SC Plan:Home with ecollar Re-check on Saturday and then bandage changes every 3-5 days 

 Have reminders been checked? Y/NHas the owner been advised of this? Y/NFirst Clinic Signs: couple of weeks scratching and shaking head (consult 4/2/26) - revisit today Diagnosis/Suspected: poss underlying allergy - resolved otitis externa Summary/Suspected Cause: poss underlying allergy - resolved otitis externa Any other conditions being treated/known health concerns(if any): lump on tail Treatment/Plan: epiotic for once weekly ear cleaningHX:Reminders checked: Y - NG r/v ears and discuss lump on tailDaughter brought mum in for clarification of some details- daughter very concerned he'll need to lose the tail Preventatives: NGSExam:OMMs pink CRT 1 secG2 DCChest: no obvious murmurs/arrhythmias, lung fields clearAbdomen: MSN:Skin/ears/eyes/coat:- 7mm mass underside of tail, approx midway - ears look great, small amt debris, TMs nad-- cytology: occas mal only - 0-1+ hpf both earsTx/Plan:rec dental and excision of mass; option to FNA today but may aggravate mass (best to do while under GA for surgery OR sending off for histopath)discussed GAP fee of 850explained worse case scenario will require freq bandage changes if needing to heal by second intensionRec weekly ear cleaning with epiotic