C10002644 / invoice 10000

Appointment Notes: Eye concern. squinty and not opening eye. KFHistory:BIB: Alanna and JustinStarted at 8-9PM last night. O does have a cat.  Ate a full break this AM.   UTD for vax and due in the next month basically.   Did not walk yesterday afternoon.  No walk yesterday arvo and no interactions with dogs or cats.   No V or D and no other signs of illness. Examination:L eft eye is closed most of the time and partial prolapse of the 3rd eyelid.  Right eye is also partly closed.  There is mild scleral inflammation in the vessels surrounding both eyes and some generalised chemosis bilaterally.  Mild bilateral epiphora.  Can not easily detect cloudiness in the cornea or the anterior chamber - but note the dog is so, so difficult to get to be still - just excited and does not like restraint.    Diagnostic procedure: Alcaine application: Both eyes opened up a fair amount moreFluorescein stain result:  Negative for both eyesDiagnostic procedure: TonometryRight eye:     7-9 mmHgLeft eye:      17-19  mmHgAssessment: Uveitis may be present in the right eye and could not rule out either eye in the process of moving from normal to abnormalDDX:Uveitis - cause unknownAllergic conjunctivitisClient Communication:Going to treat symptomatically for bilateral inflammation - noted may to local causes like allergic conjunctivitis or systemic - noted her mild fever today.NO evidence for any physical trauma or damage to cornea but described that topical steroid could make this kind of condition rapidly worse if we got this wrong - so very important that O stops the drops if the eye is looking worse and not better. Treatment:Prednefrin forte 1 drop BIDKeep out of bright light - may cause discomfitPlan:Recheck booked with me on Monday morning.     Vital Signs    Weight: 26.8;       MMColour: Pink;       RespirationRate: 180;       HeartRate: 144;       Temperature: 39.5;       CRT: < 1 sec;       

Appointment Notes: Slumping L leg, cant stand. Started this AM, will come straight away and wait in carpark as she cant carry her alone and she's already in the car @8am  SThxBIB Mssore leg started this AMwent outside then when came back in, painful and unable to get updont think she had brekky this AM, offered food - not her favourite so may not have eaten it.has actually been off food- not eating kibble but will eat canned dog food as a toppernot wanting to eat the rice and minceno raw food or bonesfed BIDno v+ or d+no current medsparasite prevention: utd bravectowas at the park and went off into the bushes 2 days ago.EXAMHospital Admission for:  Rads and bloods under GAPresented by: AlannaPrimary contact today:  Alanna 0407430453Admitting nurse: CMGCurrent meds: NilOther concerns: Nails EXAMBARpink mm crt <2LN wnlclear chestabdo palpation nadwriggly- will lay on side and keeps kicking foot out when assessing the stifle. nad on toe and hip palpation/manipulation. seems to be limping on LH7mgkg trazodone given poneed GA to assess HLs and abdo.Initials of primary anaesthetic nurse: Sedation given: 13mcgkg medetomidine and 0.4mgkg butorphanol IVReversal: 0.34ml atipamezole IV, required 0.17ml top us as half leaked out of catheterLaboratory: PCV/TP:CBC: mild monocytosis with eosinopenia and lymphopeniaBiochemistry: mild hypercholesterolemiaElectrolytes:wnlPancreatic Lipase:wnl Radiology:    Site:   abdo and HLsType of Views:   lateral and vdFindings: gas in colon, some food and gas in stomach. kidney, spleen, liver, bladder nadL femoral head coverage about 50%, RHS >50%stifle, hocks, toes nad. spine nadAssessment:L hip borderline hip dysplasia- to monitor, repeat hip rads q12-24months. consider joint supplements if clinical for hip dysplasiaLH hip vs soft tissue flare upd++: diet indiscretion. fb not ruled out but no obstructive pattern notedTRT120ml hartmans given sc as intial ivc not patentPLANstrict rest for a week then slow intro to exercise250mg panadol po bidTGO prokolin, bland dietrepeat rads if v+13/02/2026 4:32:25 PM MN:spoke to O , discharge booked    Vital Signs    Weight: 26.1;       

Appointment Notes: check post spey - O declined bloods. CMG  ------- Sms reply: YesSurgery site looks well healed. O reports no issues. Can return to normal life. KF    Vital Signs