C10029492 / invoice 10000

Admitted for dental staging.Weight: 17.3kgTPR: wnl, very sweet.PAS:CBC: wnl, low PLT but PCT normal likely artefact dt clumping, no anaemia.Biochemistry: wnlAnaesthetic ReportPremed: Medetomidine 5ug/kg (0.05ml) + Methadone at 0.2mg/kg (0.16ml) IV22G catheter placed in R cephalicInduction: Alfaxan at 1-2mg/kg IV, administered slowly to effectInduction quality: good.GA: Isofluorane and O2Fluids: IV Hartmann's solution at 5-7.5mL/kg/hrDental Radiographs, Region: Whole mouth, Operator: HT. All nsf. 103 has eversion of tip externally.Dental ultrasonic scale & polish. No gum recession or pocketing.Missing teeth: 305Extractions: none required.Mass on ear has flattened, dried scab overlying but removed to reveal moist ulcerated surface.Impression smear: RBC + neutrophils.Removed surgically with eliptical incision around and blunt dissected off of cartilage. Placed in formalin for histopath. Cautery used to stem bleeding -> temporary head wrap to keep ear from flapping about.Medications: Meloxicam@ 0.1mg/kg SC post op.Medications TGH with:Meloxicam 0.1mg/kg PO SID 5 days, starting from TOMORROW PM.Amoxyclav 12.5mg/kg BID for 3 days.Post anaesthetic recovery: good.Post-Op Fluids: IV Hartmann's solution at 2.5mL/kg/hr.IV catheter removed by VN at discharge.Home with e-collar to prevent scratching.**Recheck: RV in 3 and 10 days to assess ear -> should dry and heal by second intention. Remove bandage at 3 day POC.Recommended home care:Brushing, Hill's T/D food, Aquadent, raw carrots, dental treats (eg. Whimzees/ Oravet).Await histopath results for ear mass. May need further surgery. Warned O re delayed healing if shaking head excessively. Can use snood but needs to be careful of moisture trapping and infection. Let us know if needs sedation for recovery period.

Vet: Nurse:History:Presents today for a new mass on right pinna.EDUD normally no v d or cDiet: no changesMedications: noneVaccination: UTDParasite preventatives: YTDBehaviour:Examination:BARCardiovascular: HR 80 bpm, no murmur, or arrhythmia, femoral pulses=HRMM pink, CRT <2Respiratory: WNL, normal respiratory noises, no nasal dischargeOral: grade 1/4 dental diseaseEyes: clean and clearEars: 8x8mm raised hairless plaque like mass on medial aspect of right pinna.Integument: skin between 2nd and 3rd digit RH paw healing well, quite normal skin albeit hairless in this region from previous surgical exploration.Abdo palpation: soft and comfortableMusculoskeletal: NADPLN: WNLUrogenital: nsfRectal: not performedT: too boisterousBCS: 5/9Assessment: Lump on right pinnaTreatment:Plan:1. Discussed FNA of mass to begin with. Will need sedation at least to have this performed as quite energetic in consult.2. O happy for this to be done at time of dental procedure. To call O with FNA results + whether lumpectomy is recommended at the same time on the day of dental. Estimate provided for dental+ FNA +/- lumpectomy.3.

Vet:NW (at the start) CK at the end dispensing the meds due to an emergency admitNurse:- NONEHistory:EDUD normally no v d or cDiet: RC SKIN, and wet w various proteinsMedications: noneVaccination:Parasite preventatives:Behaviour: divine*** drug rtn to meloxicam****Examination:BARCardiovascular: HR bpm, no murmur, or arrhythmia, femoral pulses=HRMM pink, CRT <2Respiratory: WNL, normal respiratory noises, no nasal dischargeOral: NSF, G1 mainly on the canines dental no gingivitis or recessionEyes: clean and clearEars: clean and clearIntegument: normal skin and haircoat. Mod swelling from the hock distally -- had exploration of FB 3/2/26mc&s > light bacterial growth sensitive to amoxy/clavAbdo palpation: soft and comfortableMusculoskeletal: NADPLN: WNLUrogenital:Rectal:T:BCS: /9Assessment:allergy component re RH distal hock swellingTreatment: conservative elected.14.88mg/kg amoxy/clav q12hrs 10 days0.44mg/kg preds q12hrs 5 days, then 0.44mg/kg q24hrs 5 daysPlan:1. If conservative tx not improving-- there is tissue in formalin (taken at time of exploration 3/2) to send for tissue culture or histo2. RV 7d