C10001635 / invoice 10000

17/02/2026 Primary Presenting Complaint - desexing disc
Other Complaint - lump between toes
         Loyalty Reward Program - Y/N
History - 
discharge from vulva last 6 months 
discharge has had blood in it but not all the time, mostly clear
last heat june/july 2025
lumps between toes flare up sometimes 
on walks stops and stands 
         Last Normal -
         Frequency   -
         Last Ate       -
         Medicine Hx  - siclosporin eye 
         Diet              -
         Vacc Current -
         Worming Hx  -
         Heartworm    -
         Microchip       -  Y / N    -  scanned - ok?

Examination -
         Attitude -
         Body Score -    /10
         Temperature - 
         Heart -   HR. Murmur - 
         RR -
         Dental - Score(0-4)=    .Comment
         CRT - immediate
         Eyes - NVL
         Ears - clean and discharge free
         Abd Palpation - Unremarkable
         Gastrointestinal -  No Sig Findings
         Urogenital -  No Sig Findings
         Skin - 
         Musculoskeletal -  No Sig Findings
         Neurological -  No Sig Findings
         Lymphatic - No Sig Findings
         Other key findings = toes ears etc
send est

Assessment - 
Problem List - 
DDx                 - 
Discussed      - 
Treatment Plan - 
Prescriptions(on-going) -
Next Visit            - | 05/03/2026 Anaesthetic - 
Pre-anaesthetic Findings(TPR) - Unremarkable
Pre-anaesthetic Blood test - Unremarkable
Premed - Methadone + Acp IV. Cerenia IV    
Induction Agent(s) -  Alfaxan slow IV 
Catheter location - Cephalic vein 
Fluids - Hartmans surgical rates
Maintenance Agent -  Isoflurane 
HR    Comment        -  Average 100bpm, stable
Po2   Comment       -  >99%
ETCO2 Comment   - Not reading 
BP    Comment        - MAP >65mmHg
Temp Comment      - Recovery temp 37.6
Other Drugs  - Cefazolin IV 
Recovery                   - Unremarkable.
 
Surgery Record - Procedure - Ovariohysterectomy    . Positioning - Dorsal
Clipped, Vacuumed, Prepped Chlorhex/Alcohol.
Incision Site(s)          - Mid-line - post umbilicus
Findings                   - Mature uterus
Procedure/materials   - Triple ligation of both ovarian pedicles and uterine body 
Discussion                - Loose uterus, thickening of cervic and irregular but no obvious cysts. Very fatty ovarian pedicles 
Closure/materials       - Linea alba closure 2/0 PDM simple continuous, subcut 3/0 monosyn and intradermals 
Medications       - Meloxicam, Losec 
Outcome                    -  Good
Client Communication  - Everything went well and can go home tonight.                NB. Standard post op care includes 1/ Keep wound clean and dry and no bath for 1 week, 2/ Small meal only tonight, and 3/ Make sure not licking/pulling at wound otherwise will need an eliz collar. Recheck 2 weeks 

05/03/2026 HR 168 BPM, TEMP 38.5 RR PANT