C10021543 / invoice 10000

Consultation nurse: MG

REASON:
Bandage recheck/change for right hindlimb wound.

HISTORY:
Post-operative check for lump removal on 23/02/2026.
Eating well.
Finished course of anti-inflammatories.
Continues on anxiety medication.
Bandage has not been bothered but did come off once.

Previous medical/surgery history:
23/02/2026: Fibroadnexal hamartoma with marked pyogranulomatous and lymphoplasmacytic inflammation excised from RH medial aspect with 2mm margins.
18/07/2025: Pancreatitis with elevated liver and pancreatic enzymes.
13/08/2021: Grade 1 soft tissue sarcoma removed from right elbow with incomplete margins.
04/2018: Spayed.

Current meds:
gaba 300mg SID-BID 
Traz 100mg-150mg SID to BID  as needed.

Endo/ectoparasite treatment:
Up to date.


EXAMINATION:
Demeanour- BAR pink moist mm crt<2s
Integument - Wound on RH medial aspect. Nice granulation bed present. Mild redness and inflammation around the wound margins. No evidence of licking. Bandage removed. Distal toes non-swollen. Wound is generally clean and dry.

ASSESSMENT:
1. Post-operative wound management - Healing as expected with mild inflammation. Histopathology confirmed benign fibroadnexal hamartoma with complete margins.

TREATMENT
1. Post-operative wound management
- Wound cleaned with saline. Manuka honey, melanin bandage, and layered Velband/conforming bandages applied. A no-chew bandage was placed as the final layer. Distal toes left exposed to monitor for swelling.
- Continue firocoxib 227mg 1/2 SID PO for 10 days.
- Continue anxiety medication to encourage rest.
           - Recheck bandage change in 4-6 days.
           - Advised strict rest. No swimming or getting the bandage wet. If bandage becomes wet, it should be removed, the wound cleaned with warm salty water BID, and left open to air.
           - Vaccinations are overdue.

PLAN:
- Recheck for bandage change in 5 days.
- Continue current medications.
- Strict rest advised.
- Defer vaccinations until wound has healed.

Consultation nurse:Nil

Reason for presentation:bandage change

History for today:
EDDU ok did need bandage change on Sat and then that fell off too.

Previous medical/surgical concerns:
23/2/26 lump r/o RH medial aspect - DIAGNOSIS
 Fibroadnexal hamartoma with marked pyogranulomatous and
 lymphoplasmacytic inflammation (excised) with 2mm margins around.

18/07/2025: Pancreatitis with elevated liver and pancreatic enzymes.
13/08/2021: Grade 1 soft tissue sarcoma removed from right elbow with incomplete margins.
April 2018: Spayed.
Overdue for vaccinations.

Current medications:

Microchip (scan & record):

Client email (add to file):

Diet:

Examination:
Wound flat and granulating and contracting. 

Assessment:Wound granulating well. Contracting

Treatment:
cleaned wound with saline.
bandage change and replaced with melolin with manuka honey
Velband
Conforming bandage
Vetwrap,
tensoplast then finished with vetwrap again. 
Left toes out today and tensoplast up to hock.
Gave Os some material incase it falls off again. 


Plan: recall, recheck revisit repeat bandage change in 3 days then drop down to weekly. May just bandage to below hock in subsequent changes if it won't stay on.

Consultation nurse: AP 

Reason for presentation: Rebandage 

History for today:
- Noticed last night the bandage was slipping

Examination:
BAR

Assessment:
Replaced bandage -
Stirrup lateral aspect
Melolin with flamazine
Soffban
conforming
vetwrap
adhesive 

Treatment:
Continue medications
Rebandage every 3 days 

Plan: 
Replace bandage on Tuesday as planned
Monitor bandage closely
Replace sooner if any bandage concerns/slips etc.