C10016554 / invoice 20000

Reason: SpeyLaboratory:PreGA bloods WNLsAnaesthesia: Premed with 0.9mls methadone and 0.22ml medetomidine IM Induced with alfaxan i/v through iv catheterIntubated and maintained on isoflourane through oxygenIVFT CSL + ketamine @ 100mls/hr through surgeryKetamine bolus mls at inductionSurgery: Routine midline spey. Incision through skin, subq and linea alba. Ovarian vessels clamped and ligated with millars knot followed by surgeons knot with 2-0 PDS. Uterus clamped and double ligated (1 transfixing) 2-0 PDS. Uterus and ovaries excised. Slight ooze noted in abdomen, pedicles check, ligatures secure and no bleed from pedicle. Oooze noted from fat adjacent to left pedicle. Ooze clamped and ligated with 2-0 PDS. No further ooze noted. Incision closed 2-0 PDS linea, 3-0 PDS to close subq and intradermal.Nails trimmedEar cytology:LEFT ear: marked cocci and yeast. Ear very gunky on otoscopic exam, red pinna and swollen. RIGHT ear: mild yeast present. Minimal redness, mild wax on otoscope exam. Treatment: Carprieve 1.8mls in recovery scHome on 50mg PO bid 5d Dermotic 0.5ml po bid both ears (L for 10d, R for 7d) Plan: Post GA call tomorrowRecheck with nurse in 3 days and 10 days with vet and recheck ears.    Vital Signs    

Reason: Vet AdmitHistory: No food this morning EDDU okHas had ear infection recently - been medicated with drops - finished about 1 month ago - O thinks ear infection has come back Has had cytopoint in the past and workedDiet: wet and dry food - BlackhawkeVacc UTD - adult vx due in April 2026Objective:Demeanour: BARHydration: normalC/V: no audible murmurs/arrhythmiasResp: lung auscultation nadGIT: comfortable abdo palpationU/G: nadSkin/Ears: nadEyes: nadL/N: nadM/S: nadDental: good teethAssessment:Discharge in left ear - cytology not doneOtherwise ok for sx todayOptions:Discussion with owner:Updated estimateTreatment: ear medsPlan: Admit    Vital Signs    Weight: 22.4;       MMColour: Pink;       RespirationRate: WNL;       HeartRate: WNL;       Temperature: 38.6;       BodyScore: 6;       DentalGrade: 0;       CRT: < 2 sec;