C10004695 / invoice 30000

14/02/2026 According to o she started beransa inj after Neesha had been lame on jumping out of the car. She would lie down as if it was really sore then get up and walk as normal. No reported lameness or stiffness at other times. This pain on jumping out of the car stopped after first injection of beransa so o decided to cont to give it. However she is a good 3wks overdue now and there has not been any pain on jumping out of the car. O unsure about whether to cont beransa inj.

History in my opinion is more suggestive of a soft tissue sprain/strain and it seems to be coincidentally better since starting beransa. Discuss this with o. She is going to give it one more try and she will be home more to assess if she thinks there is any improvement at all in her mobility-may not repeat is not convinced. Declined exam today | 06/03/2026 Ollie came in with Neesha. D+ for 3 days. no blood. brownish watery. V+ last night as well. a bit food in the V+. o hasn't fed her this morning and no V+ yet today. drinking well still. not on any meds
Ollie also asked me to reassess the lump on the right hip

BAR. CRT 1 sec. pink moist mm. dental grade 3. all superficial LN wnl. skin tent wnl. abd not uncomfortable. HR 70. BT 37.7. R sc hip lump is not mobile- about 15X12cm now. anus a bit red but alright. by rectal palpation, i can still feel a solid massive lump on the right side inside the pelvis at my finger tip. empty rectum with diarrhoea. 

1. D+
vitals are not bad so ok to treat it symptomatically. Ollie agreed. 
INB esp not eating well or V+, recheck for further investigation- bloods and abd ultrasound. or faecal test if just D+
Ollie declined prevomax today. 
we will treat it with a bland diet and metronidazole

2. lump 
there are actually 2 lumps (one inside the right pelvis and one on the right hip) I THINK... or could be 1 lump but affecting both inside the pelvis and outside the pelvis. I don't know. We discussed with Lucy and Sophie before and Sophie declined further investigation so there is not much i can do now. they just need to pay attention to her bowel motion and make sure she doesn't get constipation from the pelvic lump

07/03/2026 Booked for CT at PCV 8am Tuesday 10th March fasted. referral and hx sent via website portal. Radiographs emailed. OH

07/03/2026 recheck
Sophie brought Neesha back. o is concerned that Neesha hasn't had any solid poo in the past 4 days. straining a lot. eating well. eating well. o doesn't think she has any V+ in the past 24 hrs. o is worried the dog is blocked because she doesn't have any solid stool. o wanted to know if we can give laxative or something..

BAR. CRT 1 sec. pink moist mm. abd not too uncomfortable. a bit tense cranially. small bladder. rectal- no solid stool and it was empty

o's concern is the dog might be blocked because she has been eating and straining but no solid stool. therefore, i offered conscious xrays to check things. 
we managed to get 2 views of conscious abd xrays. the intrapelvic tumour is not obvious on the xrays but we can see the descending colon is displaced on both lateral and vd views. empty colons with increased peristalsis on the xrays. loss of serosal detail in the cranial abd. full stomach. 

I explained the xrays to the owner. we don't need laxative. o is still worried the dog is blocked because nothing sitting in the colon. therefore, i suggested a CT scan for the abd and pelvis for the GI issue and for the lumps. i also suggested to go to the emergency vet for a quick abd ultrasound if the dog starts to V+. o happy to take the dog home and wait for us to arrange a CT scan. advised to continue small portion of cooked chicken breast 250g BID and metronidazole in the mean time.  | 07/03/2026 Booked for CT at PCV 8am Tuesday 10th March fasted. referral and hx sent via website portal. Radiographs emailed. OH

07/03/2026 recheck
Sophie brought Neesha back. o is concerned that Neesha hasn't had any solid poo in the past 4 days. straining a lot. eating well. eating well. o doesn't think she has any V+ in the past 24 hrs. o is worried the dog is blocked because she doesn't have any solid stool. o wanted to know if we can give laxative or something..

BAR. CRT 1 sec. pink moist mm. abd not too uncomfortable. a bit tense cranially. small bladder. rectal- no solid stool and it was empty

o's concern is the dog might be blocked because she has been eating and straining but no solid stool. therefore, i offered conscious xrays to check things. 
we managed to get 2 views of conscious abd xrays. the intrapelvic tumour is not obvious on the xrays but we can see the descending colon is displaced on both lateral and vd views. empty colons with increased peristalsis on the xrays. loss of serosal detail in the cranial abd. full stomach. 

I explained the xrays to the owner. we don't need laxative. o is still worried the dog is blocked because nothing sitting in the colon. therefore, i suggested a CT scan for the abd and pelvis for the GI issue and for the lumps. i also suggested to go to the emergency vet for a quick abd ultrasound if the dog starts to V+. o happy to take the dog home and wait for us to arrange a CT scan. advised to continue small portion of cooked chicken breast 250g BID and metronidazole in the mean time.