C10028172 / invoice 10000

Reason: Pre Spey Check Also Poss Xray Hind LegHistory: Was really lame 2 d ago , unable to get up and getting down gingerly. Came out of nowhere. Better at present. EDDU fine no other issues.Presenting problem(s)Examination:Eyes/ears:nTeeth/mouth:nChest:nAbdomen:nnUrogenital:nDigestive:nLymph nodes:nSkin: nLocomotion:lame LHNervous System:nAssessment:Plan/Diagnostic:Orhot exam under sedOrtolani positive LHSome laxity RH/hip cant get Ortolani. Knees and the rets of both hind legs normal on manipulation .X raysLower spine and knees NSF. L hip CHD, reduced femoral head coverage, R hip better. Differential Diagnosis:LH CHDPlan:  Start with joint protectants/Nutraceutical, Zydax, food supps etc. Monitor weight and exercise, swimming and walking or running along bike/jog. Advised will progressExamination: Pre Anaesthetic Exam Risk Level (1-5):Laboratory: Pre Anaesthetic Lab-> declPre-med: 0.8ml meth adn 0.1ml ace IM @ 12:35pm Anaesthesia: Induction: Induction with 3.5ml alfax IV @ 1:47pm topped up with 1ml alfax @ 2:07pm JCKMaintenance: Inhalation - with 1L p/min oxy and 2-4.5% ISOIV Fluids: HartmannsIntra Op ->IV catheter placed 155ml/hr sx and 78ml post opNo tatts place as per o reqNails trimmed - only few reqSurgery: Site- ventral or flank midline incisionDetails-Routine OvariohysterectomySuture to ligate ovarian pedicles 2/0Suture to ligate uterine body 2/0Linea closed with suture simple continuous, 3/0Closed fat and subcuticular layer with suture 3/0Closed skin with sutureSuture removal in 14 days Recovery suit 14 days Radiology: Site: Type of View: Sedation used: Premed and Anaesthetic Chart:Premed:Induction:Maintained on  Pain reliefFindings: Differential Diagnosis:    Vital Signs    Weight: 31;       MMColour: pink;       Temperature: 38.1;       HeartRate: 100;       BodyScore: 3.5/5;       DentalGrade: 0/4;       RespirationRate: 20;       CRT: 1;