C10022494 / invoice 10000

Reason: 2 mass removalsObjective: ASA Grade 1/4HR/PR: 108 bpmRR: PantingTemp: 38.7°CMM: Pink and moistCRT: <2 secondsStatus: BARLaboratory: Pre-anaesthetic bloods performed. Biochemistry unremarkable. Platelet count low, MPV high at 15.2. Platelets normal on smear examination.Treatment: Premed: Methmix 1.76 mL SC at 01:16PMInduction: Alfaxan 3 mL IV at 01:48PMIntubated with size 7.5cuffed ET tube and maintained iso 1% at oxygen 1L/minIVFT started Hartmann's 68 mL/hr for surgery, 44 mL/hr for maintenanceEars: Flushed with Otoflush. Mild Malassezia noted on microscopic cytology.Teeth: G1Nails: trimmedSurgery started: 2:10pm Technique:Mass 1: 25 mm round soft homogeneous fixed SC mass on mid ventral thorax just left of midline. Elliptical incision over mass, blunt dissection around tissue, mass excised, capsule removed. Closed with simple continuous 2-0 Silverglide with tacking sutures. Skin closed with 3-0 Silverglide intradermals.Mass 2: 1 cm round soft homogeneous fixed SC mass deep in left axillary region. Incision over mass, blunt dissection around capsule, mass removed. Closed with simple continuous 2-0 Silverglide with tacking sutures. Skin closed with 2-0 Fluoromid cruciate sutures (2 cruciates).Surgery finished: 1:48pmAnaesthesia finished: 1:48pmRecovery:Significant bruising noted around surgical sites. Skin extremely thin. Hair extremely thin. Otherwise unremarkable recovery.Pain relief: Meloxicam 0.35 mL SC given at 03:08PMPlan: Recommend ACTH stimulation test to R/O Cushing's disease at owner's earliest convenience. Discuss ACTH stim test, Cushing's disease, and post-op care with owner.F/U call tomorrow.Suture removal in 10-14 days.    Vital Signs    Weight: 17.7;