C10027275 / invoice 10000

Reason: dfwGAP ONLY HISTORYFirst clinical signs - 13/3/26Summary - dog fight injuriesDiagnosis - dog fight injuriesTreatment -anaesthetic to clean wounds and xray to check RFL, pain relief, antibioticsBrought in by wife Jing. 5am this morning Robin (husband) taking Dusty for a walk when a staffy like dog came out of no where with no owner and attacked Dusty. Passer by helped and that was how owner and Dusty were freed. O went to aes - given 0.3mg/kg methone IM and transferred to prah for further workup/assessment. Ecollar from aes Preventative healthcare:Vacc:wife unsure done by husabndHWP:UTD NGSIW:Flea/tick:Examine:PHYSICAL EXAMINATION: sedated demeanor from methone injBCS: 5/ 9MCS: normal muscle mass Mentation: alert and responsiveEYES: NAD - clear, no noted discharge EARS: NAD - clear, no discharge, odour, erythema#NOSE: NAD - clear, no discharge, symmetrical, no lesions #ORAL: NAD - normal pink and moist mm, normal CRT, healthy teeth & gums#CARDIOVASCULAR - NAD - no murmur or arrhythmia auscultated, pulse pressures normal and synchronous#RESPIRATORY: NAD - thoracic auscultation clear sounds bilaterally, respiratory effort normal#ABDOMINAL: NAD - soft pliable, no detectable pain or palpable abnormalities#NEURO: NAD - neurologically no significant findings, no cranial nerve or proprioceptive deficits/gait#MUSCULOSKELETAL: NAD - ambulating with normal gait & posture, no pain on palpation of joints, appropriate ROM#RECTAL: not performed#REPRODUCTIVE: externally normal #INTEGUMENT: NAD - clear coat and skin #LYMPH NODES: NAD - peripheral nodes palpate normal #Assessment:RFL bleeding - Plan:Admit for ga/assess leg wounds/radiographsPrega bloods  wnlsAdditional domitor 10ug/kg given IMIntravenous catheter placed in cephalic veinInduction: Alfaxan/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 ###--- 13/03/2026 09:09:56 PW:Worming - Waived - Client Declined - Cost    Vital Signs    Weight: 22;