C10021766 / invoice 10000

Reason: Cut Leg, Bleeding Lots NQ (Room 2)GAP ONLY HISTORYFirst clinical signs - Today - cut legSummary - Laceration to palmar aspect L metatarsalDiagnosis - Laceation to palmar aspect L metatarsal with 2x severed tendon of digital flexor tendonTreatment - Stitch up with bandage. Will require ongoing bandage changes0423126021 - samanthaDiet: dry foodPreventative healthcare:Vacc: UTDHWP: UTD sr12IW:Flea/tick: UTD BQHISTORY:O's presenting complaint(s): In last 1 hour Marshall has cut his left hind foot in garden, o thinks likely the corrugated iron along fenceHas eaten dry food this amNo other health concernsExamine:PHYSICAL EXAMINATION: BCS: 6/ 9MCS: normal muscle mass Mentation: alert and responsiveEYES: NAD - clear, no noted discharge EARS: NAD - clear, no discharge, odour, erythemaNOSE: NAD - clear, no discharge, symmetrical, no lesions ORAL: NAD - normal pink and moist mm, normal CRT, healthy teeth & gumsCARDIOVASCULAR - NAD - no murmur or arrhythmia auscultated, pulse pressures normal and synchronousRESPIRATORY: NAD - thoracic auscultation clear sounds bilaterally, respiratory effort normalABDOMINAL: NAD - soft pliable, no detectable pain or palpable abnormalitiesNEURO: NAD - neurologically no significant findings, no cranial nerve or proprioceptive deficits/gaitMUSCULOSKELETALlame and nwb lame in lhl, constantly licking at cut soreRECTAL: not performedREPRODUCTIVE: externally normal INTEGUMENT: NAD - clear coat and skin LYMPH NODES: NAD - peripheral nodes palpate normal Assessment:Laceration to left metatarsal area ~8-10cm in length Admit for stitch up As eaten this am will give cerenia iv prior to gaPrega bloodsPlan:Pre-operative:Pre-anaesthetic blood test: Results unremarkable Pre-medication: 10ug dom / 0.4mg/kg Methadone IM Intravenous catheter placed in cephalic veinInduction: Propofol IV titrated to effectIntubated with ### ET tubeMaintenance: Inhalant isoflurane and oxygenFluid therapy: Surgical rates of Hartmanns commencedIntra-operative:Approach: ##### Location and description of wound ###Drain: YES / NO / Type / Number of drains and location ###Surgical Flush: YES / NO / VolumeClosure: Routine 2 layer closure. 2/0 monosyn subcutaneous simple continuous and 3/0 riverlon external cruciate suturesIntra-operative anaesthesia: Nil concerns Post-operative:Recovery: Smooth and uneventful. Ecollar placedAnalgesia: Meloxicam 0.2mg/kg administered SQ once normothermic and responsiveAntibiosis: Noroclav 8.75mg/kg administered SQPlan:POC 3 and 10-14 daysMeloxicam orally for 4 days, start in 24 hoursNoroclav orally for 10 days, start in 24 hoursSuture removal: 10-14 days ###Drain removal: NA / YES / NO / Number of drains ###--- 12/03/2026 08:36:25 SL:Worming - Waived - Client Declined - Costgabapentin dose 20-25mg/kg sid to bidtrazodone 5-8 (10) mg / kg (care if on Lovan already)  sidInstructions will print on invoice.    Vital Signs    Weight: 24.5;