C10010403 / invoice 10000

Abbscess investigations
BCS 6/9 full coat,
Premed 0.1ml medet, 0.7ml methadone


Examine the mass under chin: associated with tactile  whiskers, deep nodule, FBA brought follicular crud - dx follicular cyst
Could not locate the right facial fold mass
There is generalised dermatitis

Surgery: 3ml alfaxan, iso via 6.0 (snug)
Excised mass from ventral tactile whiskas, this goes deeply x 2-3cm, trimmed to normal tissue. It is quite solid and grey/white, looks to be chronic granulation tissue
Offer histopath to be sure - declined

Slow recovery, 0./1ml atipam, 0.5ml meloxicam, home > 12pm

s/r 10d
1305 discharged AB

Reason: Lump check
- Presents with a large lump under the chin.
- Lump appeared this week, noticeably larger today than yesterday.
- Animal is sad and flat this week; was miserable on Monday.
- Uncomfortable when lump is touched
- Usually enjoys belly rubs and physical affection.
- Prior history of a grass seed in a paw, which was removed.
- Concerned about potential for another grass seed burrowing.
- Reports a previous BOAS surgery was life-changing, describing it as a "new rebuild."

Objective:
- Large lump present under the chin, 3.5cm turgid SC 
- FNA - haemorrhagic, revealed blood and many neutrophils, indicating inflammation/infection, not a tumour.

Assessment:
- Possible foreign body, likely a grass seed, causing inflammation/infection.

Plan:
- Prescribed anti-inflammatories and antibiotics.
- Anti-inflammatories: Dosage for 27kg, once daily.
- Antibiotics: Three-quarters tablet, twice daily for one week, to continue after surgery.
- Recommended surgical removal of the foreign body. (booked in but forgot to put estimate) 
insurance claim submitted via vet hub AB

Admit for: L cherry eye repair. 
Preop vitals: Has gained weight...breathes beautifully. L proptosed nictitans. 
Premed: 0.13mL ACP + 1.0mL methone IM. Moderate to heavy sedation achieved. 
Induction: IV catheter placed w flow by pre O2. 5mL alfaxan + 0.06mL dom IV induction. 5.0mm ETT placed
Maint: iso.O2. Maint uneventful
Recovery: slow, uneventful
Analgesia: 1.0mL meloxicam SC

Sx: L modified morgan's pocked excising wedge of conjunctiva. Suture 6-0 vicryl sc. 

No recheck unless o worried. 
TGH meloxicam, doxy and lubricant.