C10004880 / invoice 10000

Reason: Joint/lump AspirateAppointment Notes: Overdue remindersQ 440 without sedationQ 640 with sedationGood week last weekLikely will need sedationL hockNew fatty feelling mass ventral neck/chest declined  FNALikely will not pujt thru sx if sinister given QOL associated with LHLVery worn caninesSurgery/Procedure Admission Consent FormHas your pet eaten in the last 12 hours?: No Please list any health problems or medication allergies.: Pred yesterday am (eod) and cyclosporine, Panadol, gaba. PM gaba and panadolI would like my pet to have a pre-anaesthetic blood test.: NoDo you consent to your pet getting an ear tattoo?: Not applicableProcedure details : Joint aspirate for culturePhone: 02 4648 5759Is this the preferred contact number? If not, please complete below: NoPrimary contact phone number: 0417 435 313Name: KathrineEstimate : 640 with sedation + abs additionalView full form at https://api.vetcheck.it/share/AU_5c7f5688-12c7-4812-86ce-3833b16b8049Verified: NoPATIENT ADMISSIONHistory:- Severely arthritic joint with reduced movement and swelling- Currently on medications: Prednisolone (every 2nd day), Cyclosporine, Gabapentin, and Panadol- Last medications given 24 hours ago (morning: Pred and Cyclosporine; evening: Gabapentin and Panadol)- Eye condition requiring specialist follow-up (appointment tomorrow at 4:00pm)- Previous senior blood work showed small increase in liver enzymes, likely due to steroid use- Weight: 39.7kg- Fasted since last night- UTD with vaccinationsExamination:- Weight: 39.7kg- Joint severely arthritic with reduced range of motion- Joint swollen and painful to touchChronic large upper L eyelid mass - cannot remove as would need reconstructive procedure with specialistREASON FOR VISIT- Joint aspirate for culture and sensitivity - o aware limitations due to severe joint dz- Sedation required for procedure due to joint location and patient comfort- Surgical preparation and sterile sampling technique to be usedFinancial estimate discussed: $640 with sedation. Client consented to sedation with understanding of associated risks. Photography consent obtained for social media use.Sedation torb/medetomidineRequired alfaxan also due to discomfortUnsuccessful attempt by NP and SA finding a joint sampleSome blood aspiratedCytology performed - red cells ++++ occasional neutrophil no obvious organismsIntermittent limp noted 3-6 moSwelling just around xmasReally swollen just the last month--- 09/03/2026 3:14:36 PM NP called ownerAdvised unsuccessful attempt at joint centesisPlan: Will proceed with antibiotics 7d and observe responseOption to bone biopsyOwner decided not to proceed with amputatio if was neoplasiaWill monitor size of the swellingTo see ophthalmologist tomorrow to see if can taper of the pred al together and swap to nsaids  REX 1 week    Vital Signs    Weight: 39.7;