C10021689 / invoice 10000

wet patches when the O had gotten home after about 3 weeks of being away. Was walking and dribbling while she was being puppy sat for about 3 weeks, but they do not have a doggy door where as the O does. Not urinating when lying down. Not drinking more than normal. O would like urinalysis today. Lump present under mandible in the middle. - lump got smaller with antibiotics and then after teh O returning after 3 weeks noted it was bigger. Submandibular lymph nodes raised. Admission Nurse: TJ Surgical Nurse: CLF/CL Recovery Nurse: CL Billing/Notes: TJ/ CLF Examine: Pre GA check: WNL 22G catheter placed in front L legLaboratory:Chem 18 + SDMA SDMA marginally elevated. Bloods ok to proceedUrine analysis findings:Colour-  bright yellowAppearance - cloudy SG - 1.035Leucocytes - neg Nitriteph - 6Protein -neg Glucose - neg Ketones - neg Urobilinogen - norm Bilirubin - neg Blood- neg Notes:Skin incision made over abcessess. Opened and explored. 2 small GS recovered.Flushed with copious sterile saline.Penrose drain placed (held in place with single interrupted suture using Monyson - top sutre). 2 additional simple interrupted sutures with Supramid made. Opening left at base sx wound for drainage.Redoing bloods in 4 weeks - biochem with idexx to reassess SDMA.  If inc consider abdominal U/S given incontinence. Note USG adequate.O to source panadol - 500mg please give HALF a tablet NIGHT and MORNINGPre Med: Torb:0.57ml/ Dom 0.05ml given IV @10.21am Maintenance:Oxygen and Isoflurane through e-tube 8.5mmFindings: x2 GS found within the lump Extras: NoneHome Care: Give medication as directedDrain removal in 10 days daysSuture removal in 14 days POC in 5-7 days if O has any concerns    Vital Signs    Weight: 19.0;       

Reason: Sneezing TKCONSULT NURSE: DFHISTORY: o has lots of GS in the home, Any concerns: Sneezing a lotCurrent medications:Pet insurance:  RSPCA Diet:Appetite: normal, had brekky at 7 amDrinking: normalUrination/defaecation: normalParasite control:EXAMINE:Temperament: BAR sweet,Eyes: clear, NADEars:clean, NAD externallyOral Exam:healthy mouth, gums pink and moist, NADCardiovascular: no arrythmias or murmurs, NADRespiratory: chest sounds clear, NAD Nares clear. Sneezing bout once in consult.Skin & Coat: BCS- 4/9, swelling under her mandible jaw- golf ball size. O declined FNA today.MusculoSkeletal:NADGastrointestinal:NEAbdomen: comfortable, NADGenitalia:Lymph nodes:ASSESSMENT:- sneezing -poss GS up nose - swelling/ lump onder jaw - GS???DIFFERENTIAL DIAGNOSIS: abscess, DIAGNOSIS: OPENTREATMENT:Amoxyclav 250mg - 1 BIDMetacam 1mg - 1.5 SIDCLIENT COMMUNICATION: discussed optionsOption 1- GA today and assess nose and take FNA of lump Option 2 - FNA lump in consult and home with ABX and monitorOption 3- home with ABX and monitor both nose and lump O has decided to go with option 3 for now PLAN:Nurse recall in 3 days--- 31/12/2025 14:21:56 PM SUP:Courtesy Call - how is her lump going has her sneezing stopped---31/12/2025 13:56:09 PM GOF Deferred: tried calling sent txt CAB Resolved - o said shes back to normal now. TK 31/12/25 TK    Vital Signs    Weight: 16.3;       MMColour: P;       HeartRate: 90;       BodyScore: 4/9;       DentalGrade: 0/4;       RespirationRate: Ligth pant;       CRT: <1;       

Appointment Notes: Lola (Dog) - Tina Peters - 0411289508 - Vaccination [Veterinarian : Gawler Vet Clinic Consults(No Preference)] - Vaccinations  -Web BookingClient name: Tina PetersContact number: 0411289508Email address: tinton4@bigpond.comPatient name: LolaCONSULT NURSE: SH HISTORY:Any concerns:NoneCurrent medications:None, Probiotic treat-a whilte ago.Diet:Dry kibble and kibbleAppetite:GoodDrinking:GoodUrination/defaecation:NormalParasite control:Simparica monthly.EXAMINE:Temperament:BAR                 Eyes:Good. ClearEars:Good. CleanOral Exam:NAD. Gums pink and moist. Cardiovascular:NAD. No murmurs or arrhythmiasRespiratory:NAD. No crackles or wheezingSkin & Coat:NAD with skin. Body condition score good. MusculoSkeletal:NEGastrointestinal:NEAbdomen:NAD. Soft and comfortable. Genitalia:NADLymph nodes:WNLASSESSMENT:-Overall Lola was fit and healthy enough for her KC vaccTREATMENT:Bronchishield Oral KC vaccination Batch #5245044A Exp#16/07/2026Protech PI2  Batch #5264016  Exp#22/10/2026PLAN: -KC vacc in 1 year.    Vital Signs    Weight: 17.45;       MMColour: PK;       BodyScore: 5;       DentalGrade: 0;       RespirationRate: Panting;       CRT: <2sec;