C10004622 / invoice 10000

Reason: Ate Rat BaitHistory: Presented for ingestion of rat bait ~1h prior to presentation - unsure type of bait but found her chewing on it Managed to get block from her mouth but she had ingested ~3/4 of the block Definitely no access prior to this No prior health concerns apart from hip OA Examination: HR 120 RR pant Mm pm BAR BCS 5/9 ambulatoryComfortable in abdo Assessment: Rat bait ingestion - emesis indicatedOwner Communication:O consent to emesisTreatment: Emesis induced with apomorphine 0.05mg/kg SQ Vomitus = digested food. No obvious bait, poss some pieces hewed up Metoclopramide 0.5mg/kg SQ as anti-nausea Plan:Rec to visit RV in 48-72h for coags    Vital Signs    Weight: 34.1;       

Reason: 6 Week RecheckHistory: Scheduled 6 week recheck Activity level and walking at home; free roaming in the house after 4 weeks, 20 min lead walks. Stiffness after rest. Examination :Gait - Lameness score - Treatment:Deep sedation with  Medetomidine(1mg/ml) at 10mcg/kg  and Butorphanol (10mg/ml), each at at 0.1ml/10kg Imaging:Radiograph shows Examination under sedation revealsPlan:Dog to slowly return to normal exercise over next 3 to 6 weeks.Client Communication:Healing of the bone is looks to be progressing but is slightly slower than what we would expect. But more than happy for her to start to increase exercise. Start with 15min BID to TID and increase by 5 min each week for 6 week. No off lead until the end of the 6 weeks. If going well then can go back to normal/    Vital Signs    

Reason: 2 Weeks Post TPLODone by MCHistory: Scheduled 10-14 day recheckRecovery after procedure: Doing very well at home. Was slightly slow for the first few days and has been getting better day by day. Now is slightly difficult to keep her calm. Confined to a small area at home. And getting 4 x 5 min walk. Examination: Wound healing complete. No suture exposedSwelling around surgery site - Mild on the medial aspect of the jointPain on palpation of site - NILMild discomfort on full flexion of the stifle No tibial trust notedNo pain when firm pressure was applied over the implantTreatment: Discussed walking physiotherapy for rehabilitationNeed to sedate so need to fast overnight.Plan: Return in 4 weeks for sedation and radiograph.    Vital Signs