C10027247 / invoice 10000

Lump Removal

Beth, 13y FN Staffordshire terrier cross, presented today for 2x lump removals. L dorsolateral thorax just caudal to shoulder and R thoracic inlet region just lateral of midline. O has declined histopathology upon admission. 

Aneasthesia & Surgery

Preanaesthesia blood test:(Yes - Mild ALP elevation 244U/L (ref 20-150), mild ALT elevation 132U/L (ref 10-118))

Anaesthesia
Catheterized (24)G IV catheter in (R)FL cephalic v.
Premedication: ACP (0.025)mg/kg (0.11)mL and Methadone (0.2)mg/kg (0.18)mL subcutaneously.
Induction: Alfaxan (1.41)mL via intravenous catheter in the cephalic vein titrated to effect.
Maintenance: 2% isoflurane gas via an endotracheal tube size (6.5)
Fluids: (hartmann's) fluid through IV catheter at (56)mL/hr
Recovery: (smooth, uneventful)
Medications: Preop(Atropine 0.43ml SIV), intra-op(-), post-op (Meloxicam 0.37ml SQ upon recovery)

Surgery:
Surgical procedure performed: (lumpectomy)
Surgical report:
Animal placed in (R lateral) recumbency, then L lateral
Surgery site clipped and surgically prepared with (chlorhexadine, alcohol, chlorhexadine scrub)
Site: (L dorsolateral thorax just caudal to shoulder, R thoracic inlet region just lateral to midline)

Procedure Methods: 
Drapes placed

LUMP #1: 
Incision made over () with (#15) scalpel blade. 
() 

Closure: 
()
Subcutaneous tissue closure with (3/0) (PDS) in buried (simple continuous) pattern.
Skin tissue closure with (3/0) (PDS) in (buried simple continuous intradermal) pattern.

PLAN:
TGH with Meloxicam oral - 0.62ml PO SID for 4 nights, starting Saturday night. 
O brought Beth in with a cone - keep on for the next 14 days. 
Recheck if any concerns.