C10001699 / invoice 10000

07/03/2026 Procedure: Radiographs
Presented by: Katherine
Admitted by: AS
Relevant History:
- RHL acute onset severe lameness (traumatic suspected)
- Now on TID panadol + SID melox

- Not overtly lame on arrival
- But growled with R stifle manipulation
- R MLP with crepitus palpable - luxated/replaced with difficulty

Pre-operative examination:
Demeanour: BAR, absolutely lovely 
HR: 160
RR: 40
MM's: Pink
CRT: <2sec
Temp: 38.3

Laboratory/ Pre-GA Bloodwork: (Prep Profile II)
Basic Pre-GA Blood Test:
PCV: 60% (Dog: 37-55 Cat: 24-45)
TP: 6.8g/dL (Dog: 5.6-8.0 Cat: 5.4-7.8)

Assessment: IGH, proceed to GA rads
ASA: I

Pre-med:
Methadone (10mg/ml): 0.1mls, Route: IM, Time: 10:12
Medetomidine (1mg/ml): 0.03mls, Route: IM, Time: 10:12
Sedation comments: moderate - good sedation
Induction: Propofol (10mg/ml): 1mls, Route: I/V, Time: 10:25
ET tube size: 5.0mm, Difficult induction?: No
Catheter size: 24G, Site: R cephalic
Maintenance: Isoflurane
IVFT Type: hartmans, Rate: 25ml/hr
 
Anaesthesia comments: bradycardic on induction (HR 38) so gave half dose Atipamezole (5mg/ml) 0.015ml IM. HR gradually increased. Rest of procedure uneventful.

Recovery: very rapid

Treatment:
- Continue melox SID
- Continue TID paracetamol

Under GA:
- R cruciate intact
- No collateral instability
- R patella difficult to luxate under GA
- HR + resp inc. when manipulating R patella
- LHL NAD (patella solid/no CCl rupture)

Radiology:
- NAD radiology either stifle
- No OA signs R stifle
- No hip dysplasia
Views: RHL/LHL/VD pelvis

Diagnosis:
- Problem R MLP (likely G3)

Treatment:
- Continue prescribed meds

Plan:
- Strict rest further 14d then gradual return to exercise
- If ongoing RH lameness/acute pain -> R stifle trochleaplasty indicated (can perform at AHV or refer to RR)