C10002093 / invoice 20000

Reason: Chest XraysLaboratory:PreGA bloods mild non specific changesAnaesthesia: See attached GA chart. Low dose medetomimdine and butorphanol provided great sedation for ivDiagnostic Imaging:Lateral chest, VD and DV chestRepeated with IPPV and light pressure on abdomen on 2 viewsAssessment: There is no sign of hiatal herniaThere is no evidence of aspiration pneumonia. Examination: of nasophanynx/larynx under GA - markedly elongated soft palate- laryngeal saccules normal- moderate tonsilar inflammation- superficial ulceration to the soft palate- oedematous swelling on the ventral aspect of the larynx- mucous on first intubation - cytology revealed chains of cocci and inflammatory cellsAssessment: BOASUlceration/inflammation in nasopharynx > secondary to regurgitation/infection/allergic/etcTreatment: omeprazole Doxycycline 50mg PO BID 10dDiscussion with owner: at discharge showed radiographsFed last night, hand fed - no regurgitation.Plan: Post GA call tomorrowFollow up call in 10 daysBOAS surgery in 3-4 weeks if regurgitation has settled/improved--- 05/03/2026 09:35:11 RG:Surgery Follow Up - Resolved - been quite tired and drowsy, did vomit a few times last night but been fine this morning, ate dinner last night and had breakfast this morning and has kept both down so far, edud, O gave meds this morning fine - O will call if any concerns    Vital Signs    Weight: 9.4;       

Reason: Discuss BOAS And CastrateHistory: RegurgitationOne episode of choking when bought up foodBad reverse sneezing episodesOwner keen for BOASDiscussion with owner: Discussed procedure, gave handout. DIscussed complications and potential need for referral for overnight care.Owner keen to go ahead hereCan do castrate at same timePlan: Booked in BOAS for a week on Thursday2/3/26 -O called -hand feeding, and every dinner time regurges.  O wondering if should have sx done earlier and is worreid about phenumonia. As3/2 - last 2-3 weeks a lot worse regurgitation.Sometimes 5-6 times a night and couldn't keep it down that night,.Owners slow feeding and eating upright over 45 minutes.Given deterioriation last few weeks - elect chest rads first - look for hiatal hernia/assess soft palate/aspiration pneumonia etcPlan surgery after that    Vital Signs    Weight: 9.8;