C10024101 / invoice 10000

Reason: Spine Intern: RHHistory: Mochi is a 5y MN Dachshund. Presented to referring vet 4 weeks prior for reluctance to take steps, jump, climb and arching the back. Treated with meloxicam and gabapentin for 10 days for suspected IVDD. Did not recover fully from this and deteriorated slowlyWent for a walk on Thursday only made it half way and was walking very slow, was walking normally then, now has become weak and wobblyOver last 3 days has gone down hill, not eating, owner syringe feeding food and water. Will not get up at all, when taken out to toilet is only standing for 30 seconds before sitting again Urinated today, but has not defecated in 4 daysOwner noticed panting and increased respiratory effort and abdominal distenstion. Is lethargic,Has been vomiting bile over last 3 daysCurrent medications: Meloxicam yesterdayGabapentin 100mg - this morning Examination Findings: T:X                 MM: Pale pinkP: 140            CRT: 2secDemeanour: QARCardiovascular: No murmur or arrhythmia, bounding femoral pulsesRespiratory: Normal bronchovesicular soundsAbdomen: Distended with fluid wave, uncomfortable on deep palpationPeripheral LNs: WNLsOcular: Normal,  Ears: NormalIntegument: NormalOral exam: NormalRectal: Not performedUrogenital: WNLMusculoskeletal: NSF. No spinal or neck pain palpableNeurological: NSF- CP, VMF, patella and withdrawal all WNL. No ataxia Client communication:LW- Discussed clinical findings with owner, suspect haemabdomen. Recommended admission to hospital for blood test and ultrasound. Discussed may then proceed to CT and surgery depending on findings. O consented.Transferred to ECC for ultrasound- CT took on caseAPOCUS: Moderate volume peritoneal effusion. Approx 4cm diameter heterogenous mass in caudal abdomen, unable to visualise bladder. Markedly enlarged lymph nodes and numerous masses throughout mesentery of entire abdomen. No hepatic or splenic masses. Abdominocentesis performed.TPOCUS: Small volume pleural effusion.Peritoneal effusion analysis:Gross appearance consistent with frank bloodCytology consistent with blood, no platelets or abnormal cells observedAssessment: Metastatic neoplasia with secondary haemoabdomen.Treatment:Methadone 0.2mg/kg IVEuthanasia:Thiopentone IV to effectPentobarbital IV to effectClient communication:CT discussed findings with Johan. Unfortunately POCUS is consistent with metastatic neoplasia and there has been bleeding into the abdomen. The cytology is not suggestive of lymphoma. Surgery is not an option due to how extensive the lesions are and it is very unlikely we would achieve good QOL for Mochi managing palliatively regardless of the type of cancer given he is already unwell and bleeding. Recommended humane euthanasia today. Johan made the difficult decision to proceed with this.--- 11/03/2026 22:25:01 MWG:PICKED UP ON AUDIT. GENERAL CREMATION.--- 12/03/2026 09:22:35 EBR:Transferred to PIP    Vital Signs