C10019963 / invoice 10000

12/03/2026 Diagnosis:Intermediate to large cell lymphoma, cytological diagnosis. CHOP Vinc week 14

History: No blood in urine noticed on the last 3 day but Emma has notice Albie straining to urinate in the afternoons. Over the past couple of days. Albie has been happier and playful; his appetite is now back to normal. 

Physical Examination findings: Bright, alert and responsive.
Oral: mild periodontal disease
Heart&Lung: no murmur or arrythmia noted on auscultation. Normal RE and BV sounds bilaterally 
Abdomen: tense on palpation, but not painful
Rectal: unremarkable
Lymph nodes:all peripheral lymph node palpate normally
Integ: no wounds, lesions, masses or ectoparasites noted 
Mm pink, crt < 2 secs, HR 152, RR 24 , Temp 38.8 , Wt: 13.8

Laboratory results: CBC performed in house with manual blood film assessment.
Hct: 0.507
WCC:6.92
Neuts: 5.19
Platelets: 323

Manual differential count:  Neutrophils 84%, Lymphocytes 12%, Monocytes 3%, Eosinophils 0%.
Platelets: clumped and adequate
Morphology: Normal 

Treatment: 0.4mg vincristine (0.7mg/m2) was administered IV via a 22g catheter in the x vein using the closed injection Equashield system.
1mg/kg maropitant administered IV immediately prior to chemotherapy
-Cerenia as required for vomiting/nausea/inappetence
-Prokolin as required for diarrhoea

Sedation pre vet visit 
-Trazodone 100 mg 2 hours prior to vet appointments.
-Gabapentin 1 capsule 2 hours prior to vet appointments
Comments: 

We will see Albie again in 1 weeks' time.  Please feel free to call or email if you have any further queries regarding Albie.