C10012515 / invoice 10000

Reason: RecheckReason: Post-Op CheckOwner(s) Present:History: Post-Splenectomy and Dental Recheck  -   Owner reports that Lucy's appetite has been improving over the last 2-3 days, and she is eating smaller, more frequent meals.-   Weight: 21.4 kg.-   Temperature: 38.9°C.-   Physical Examination:    -   Gums remain slightly pale.    -   Abdominal incision is healing well.    -  Abdominal palpation is soft     -   HR is normal.Laboratory: -   PCV: 28% (improved from 26% post-operatively).Client Advice: -   Histopathology results for the splenic mass were discussed:    -   The mass is a complex tumor with features of a splenic stromal sarcoma, containing large areas of hemorrhage and necrosis.    -   It has both benign and potentially malignant components.    -   Prognosis is uncertain due to the rarity of the tumor type. Complete excision may offer a survival time of 18-24 months.    -   Imaging performed at the time of surgery showed no evidence of metastasis.-   A review of dental findings from the recent procedure identified that tooth 209 has a deep pocket on the palatal side and requires extraction.-   Plan:    -   Reduce Trilostane dose to half a tablet BID to improve appetite. The dose can be increased back to the previous level once her appetite is consistently strong.    -   Reduce Propalin dose back  to 0.7 mL.    -   Schedule for a recheck abdominal ultrasound and dental procedure to extract tooth 209 in one month.    -   Appointment booked for 14/04/2026.Insurance Form: Insurance claim submitted for dates :    Vital Signs    Weight: 21.4;       MMColour: pale pink;       Temperature: 38.9;       HeartRate: 108;       RespirationRate: panting;       CRT: 1;