C10021259 / invoice 10000

CON 2 admit biopsy
mk ok'd

Hx  oral mass 
-Gabapentin  8 am.  

General anaesthesia
Physical exam findings:
H MURMUR?    (Grde 3/6 )
Resp effort  (normal )
ASA Status   (III) [I, II, III, IV or V]

Premed 
Agent (Methadone 10mg/ml @ 0.2 mg/kg IV ) (1.0) ml + 
Agent ( Medetomidine 1mg/ml@ 3mcg/kg IV ) (0.1) ml
Route    (IM)

Vet and / or Nurse Initials (mk/TJ)

Induction 
Agent ( Alfaxalone 10mg/ml @ 2mg/kg slow IV ) (mls) ml
, 
Maintenance Isoflurane in O2 via (11) mm ET tube

Fluids Hartmnass flow rate (135) ml/hr
BP () systolic / () diastolic / () mean



Additional drugs ()
Analgesia () 

Procedure  Oral lesion  cd  104  - hard 3cm  irregular raised gingival/bony mass extending medially to hard palate. 

 Dental radiographs 
104  and peridontal bone    0.63 s.  oblilque and lateral.  Calcification of periodntal bone between 103 and 104.  
104 root and peridontal ligament intact. 

Biopsy. 

 0.5mls mepivicaine maxillary block. 

3-4cm,  irregular very firm lesion.  Lesion nodule extends over hard palate and is ulcerated with food trapped dorsal to the lesion.  
Excisonal biopsy of the medial  1cm  nodule of the lesion.  Cautery applied.   Flushed ulcerated and hair embedded tissue under this. 
2 x  3mm biopsy punch samples taken of very firm mass.  Cautery applied. 

Sample sent to histo
DDx  Epuli,  neoplasia,  firbrosarcoma. 

T; 
 Meloxicam   1.8 mls   Scut 

P;