QQ needs surgery

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Client Name: Hurrah

Patient Name: Q Q

Breed: Samoyed

Age: 13 years old

Sex: F

Clinical Records

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Date: 22 JUL 16 11:48

Vet: TG

Notes: Dog check over -New rescue bg

H: Rescue - Surrender case from SPCA

E: QAR

low BCS

severe dental disease marked tartar and ginigivitis - most molars and premolars require extraction

severe halitosis

right lower tongue lateral aspect gingiva mass approx .5cm x .5cm

lateral flank/ skin fold leg left hind s.c mass approx 2cm x 3cm ovoid in shape - feels lipomatous- recc FNA

abdominal mass

discomfort palpn bladder

bloody urine

tongue lesion - inflammatory secondary to dental disease> neoplasia

Problem list:

1. Severe dental disease

2. Abdominal mass

3. Tongue lesion

4. Subcutaneous lesion

5. Haematuria

P: PAP Urinalysis abdo x-ray

R: 3x large bladder stones No stones evident in kidneys

PAP normal

SG 1.018 ph 8 protein +++ leuk ++ blood +++

Noroclav s.c Bupredyne s.c

Noroclav po - will need two weeks post sx

Carprieve s.c then po at home

Recc surgery remove bladder stones and remove teeth/ dental Est $1500- 2000

Drugs Dispensed:

.5 x Bupredyne Injection 0.3mg/Ml

1 x Noroclav Inj Per Ml

42 x Noroclav 250mg Tabs

1 x Clinic Visit

1 x Blood collection fee

1 x Preanaesthetic Profile Idexx Or Vetscan

1 x X-Ray (1st)

1 x radiograph interpretation

1 x Lab Fees - I H - Urinalysis Usg + Multistix

1.5 x Carprieve Inj Per Ml

6 x Carprieve 50mg Tablets