C10013587 / invoice 10000

Reason: Vestibular/ Head Tilt    Vital Signs    

Clinical Problems & Medications for Bear McGree1. Left Cranial Cruciate Ligament Rupture & Medial Meniscal Tear (June 2024)- Problem: Complete rupture of the left cranial cruciate ligament with significant tearing of the caudal pole of the medial meniscus. Managed with Tibial Plateau Levelling Osteotomy (TPLO) and caudal pole hemimeniscectomy of the medial meniscus on 25/06/2024.- Medications (Peri-operative & Post-operative):- Meloxicam (oral suspension and injection)- Methadone- Propofol- Isoflurane- Bupivacaine (local block)- Cephazolin- Fentanyl (CRI and transdermal patch)- Hartmann's solution (IV fluids)2. Osteoarthritis (Chronic)- Problem: Generalised, multifocal degenerative joint disease, noted in both elbows and stifles.- Medications:- Meloxicam (palliative use prior to and following TPLO)- Beransa (monthly injections as of Jan 2025)- Pentosan (monthly injections as of Jan 2025)- 4cyte (oral supplement)- Osteocare Joint Protect (oral supplement)- Gabapentin (started Jan 2025)3. Post-TPLO Complications (January 2025)- Problem: Development of left patellar luxation (medial and lateral) post-TPLO.- Medications:- Gabapentin (300mg PO BID initiated for management)4. Peripheral Neuropathy (January 2025)- Problem: Generalised weakness with postural reaction deficits and peripheral hyporeflexia.- Medications:- Gabapentin (300mg PO BID initiated)5. Acute Vestibular Disease (February 2026)- Problem: Acute onset of left head tilt, horizontal nystagmus (fast phase to the right), and non-ambulatory ataxia. Differential diagnosis included geriatric idiopathic vestibular disease.- Medications (for supportive care during hospitalisation):- Maropitant (injection and tablets)- Ondansetron (wafers)- Prochlorperazine (injection and tablets)- Hartmann's solution (IV fluids)- Gabapentin- Meloxicam- Buprenorphine- Amoxicillin-clavulanic acid (oral, initiated for suspected aspiration pneumonia)- Ampicillin (IV, initiated for suspected aspiration pneumonia)    Vital Signs