C10007977 / invoice 10000

Reason: Lump On AbdoIntern: RNOHistory:Tallulah is a 14 yo FS Mini Poodle presenting today for further workup of a left inguinal area mass.6/3/26 - Presented to RV for a rash/mass on the abdomen. During PE, a firm, irregular, multi lobulated lesion (5cm) was identified in the left inguinal region. FNA and QML cytology indicated a suspected metastatic carcinomaPertinent medical history:LH digit II toe amputation (22/9/25) dt lytic lesion – QML histopath came back as Eccrine adenocarcinomaSplenectomy (15/8/25) - Visceral soft tissue sarcoma, grade 2; splenic liposarcomaPrevious hemilaminectomy for grade II-III myelopathy - reportedly 6-7 years agoLaboratory:Cytology Reference: 206-2315Specimen:Left inguinal mass: 5 FNA smearsMICROSCOPIC: The smears contain jumbled clumps of tissue cells in a background of free lipid. The cells occur in tight groups suggesting cohesion as well as individually, with nuclei varying from small and irregularly ovoid with stippled chromatin and 1 or 2 small nucleoli, to very large irregular with coarse chromatin and multiple large nucleoli; cytoplasm varies from small in amount to moderate, mid to deep blue staining, smooth to showing punctate perinuclear vacuolation. Anisocytosis and anisokaryosis are very marked. Binucleates are common. There are low numbers of background neutrophils, small lymphocytes and monocytes.INTERPRETATION: Malignant neoplasm: Suspected metastatic carcinoma COMMENT: The smears show neoplastic tissue cells displaying compelling cytological criteria of malignancy. The cells are most likely of epithelial origin and, in view of the history of eccrine adenocarcinoma on the left hind foot in this patient, suspicion falls on this inguinal tumour representing metastasis. Lymphocytes were very sparse on the slides but at this location findings nevertheless most likely represent inguinal lymph node which has been effaced by the neoplastic infiltrate. Consultation with an oncologist may be of value.Current medications: NilExamination Findings: T:             MM: P:             CRT: R: Demeanour: Weight: kg, BCS: /9Cardiovascular: Normal rate and rhythmRespiratory: Normal bronchovesicular soundsAbdomen: Comfortable, no abnormalities detectedPeripheral LNs: WNLsOcular: Normal,  Ears: NormalIntegument: NormalOral exam: NormalRectal: Not performedUrogenital: WNLMusculoskeletal: Neurological: Client communication:Laboratory: Pre-op serum creatinine XX umol/L 44-159PCV/TP Sedated with methadone 0.3mg/kg SC, induced with alfaxalone, maintained on isoflurane and oxygen.  Multi-parameter monitoring recorded throughout the anaesthetic.Assessment: Surgery report:Treatment:IVFT hartmanns 3ml/kg/hr - d/c @2100 Fentanyl CRI 3mcg/kg/hr - d/c @2100Ketamine CRI 0.3mg/kg/hrMethadone 0.3mg/kg SC q4hr - start once Fent CRI d/c Cephazolin 22mg/kg IV intra op; and overnight q4hPlan:    Vital Signs    

Reason: Recheck & Bandage ChangeIntern FKHistory:Tallulah (14y FS Mini Poodle) presented today for 1 week recheck post digit II LTL amputation for undiagnosed lytic lesion (sx 22/9/25).Awaiting histopathologyOR doing well, EDUD fineSeems much more settled and happier since before amputation. No concerns and very comfortableDiarrhoea from meloxicam has resolved and paracetamol stopped. Antibiotics finishedCurrent Medications: NilObjective: Demeanour: BARHR: 132RR: pantT: XMSK: Walking well, no lamenessSurgical site: Bandage removed, clean and dry with no strike-through. Wound healing well, stitches in palce. Bandage replaced.Assessment: 1 weeks post-op LTL digit II amputation - progressing as expectedPlan:Recheck in 1 week for stitches out unless concerns.Still waiting on histopathology at this time    Vital Signs