oliveirabruno01/openfarm-dog-pain huggingface dataset:
Species: dog
Breed: Pomeranian
Sex: m, not neutered
Weight: 6.6 kg & 5.9 kg
Birth date: 2021-02-04 00:00:00
Primary diagnosis: Tracheal collaps (C3, C6), BOAS (elongated soft palate)
Situation: Post-surgery
Time since surgery: 4-6 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Pamuk was presented to the private vet on 26 July due to massive dyspnoea/coughing. The owner had had the dog for a few days now days from her ex-partner, so she didn't know exactly how long the rattling and dyspnoea had been present. The dog already had rattling and reverse sneezing before. At the presentation the dog was very stressed, showed massive dyspnoea, stertorous breathing. The vet had suspicion of tracheal collapse, which was confirmed radiologically. The dog improved under therapy with steroids, atussin and codeine, he also received antibiotics (Amoxicillin / Clavulanic acid) for a few days, in addition as little exertion as possible, especially in the heat. At the time of the referral he was getting following medication: 2.5 mg Prednisolon BID, Atussin Mite TID, Codeine 12.5 mg BID. On the 08.08.2024 the dog was presented to our clinic, where a CT was performed and a tracheal collaps grade 1/2 cranially and grade 2/3 caudally was diagnosed. CT report (08.08): Moderate to severe multifocal tracheal collapse with axial rotation in the cervical region and at the thoracic inlet; Chronic discopathies C6/C7 and T11/T12; Multifocal spondylosis deformans. The following day a trecheal stent was placed and the dog went home the same day. On the 22.08.2024 the dog came back to check the stent position and to undergo a staphylectomy.
Medication: Before presentation and observation 1 (unclear exactly when the last time): Prednisolon 0.4 mg/kg PO BID, Atussin Mite syrup PO TID, Codeine 1.9 mg/kg PO BID. After observation 2: Butorphanol 0.2 mg/kg IV, Acepromazin 0.01 mg/kg IV. Before presentation for surgery: Omeprazol 1.5 mg/kg PO BID, Prednisolon 0.4 mg/kg PO SID, Hydrocodon 0.4 mg/kg PO BID. After surgery (before observation 7): 0.01 mg/kg IV.
Anesthesia: Intervention on 09.08: Intra-tracheal stent placement. Premedication: Butorphanol 0.2 mg/kg IM, Dexmedetomidin 0.007 mg/kg IM. Induction: Propofol 1.5 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2 (100%), Propofol CRI 6-8 mg/kg/h. Analgesia: IV Infusion (Dex)medetomidin 0.001 mg/kg IV, IV Infusion Lidocain 1.8 mg/kg/h. Wake up phase: postoperative sedation Acepromazin 0.01 mg/kg IV & Butorphanol 0.2 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 90 min. Intervention on 22.08: Stent control + Staphylectomy. Premedication at 10:12: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction (ca. 1h after premedication): Ketamin 1 mg/kg IV, Propofol 1.7 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Local Anaesthesia Lidocain infiltration. Intervention duration: 15 min. Anaesthesia duration: 30 min.
Pain type: acute, nociceptive, inflammatory
Pain origin: Trachea
Estimated pain severity: 23
Species: dog
Breed: Pomeranian
Sex: m, not neutered
Weight: 6.6 kg & 5.9 kg
Birth date: 2021-02-05 00:00:00
Primary diagnosis: Tracheal collaps (C3, C6), BOAS (elongated soft palate)
Situation: Pre-surgery
Medical history: Pamuk was presented to the private vet on 26 July due to massive dyspnoea/coughing. The owner had had the dog for a few days now days from her ex-partner, so she didn't know exactly how long the rattling and dyspnoea had been present. The dog already had rattling and reverse sneezing before. At the presentation the dog was very stressed, showed massive dyspnoea, stertorous breathing. The vet had suspicion of tracheal collapse, which was confirmed radiologically. The dog improved under therapy with steroids, atussin and codeine, he also received antibiotics (Amoxicillin / Clavulanic acid) for a few days, in addition as little exertion as possible, especially in the heat. At the time of the referral he was getting following medication: 2.5 mg Prednisolon BID, Atussin Mite TID, Codeine 12.5 mg BID. On the 08.08.2024 the dog was presented to our clinic, where a CT was performed and a tracheal collaps grade 1/2 cranially and grade 2/3 caudally was diagnosed. CT report (08.08): Moderate to severe multifocal tracheal collapse with axial rotation in the cervical region and at the thoracic inlet; Chronic discopathies C6/C7 and T11/T12; Multifocal spondylosis deformans. The following day a trecheal stent was placed and the dog went home the same day. On the 22.08.2024 the dog came back to check the stent position and to undergo a staphylectomy.
Medication: Before presentation and observation 1 (unclear exactly when the last time): Prednisolon 0.4 mg/kg PO BID, Atussin Mite syrup PO TID, Codeine 1.9 mg/kg PO BID. After observation 2: Butorphanol 0.2 mg/kg IV, Acepromazin 0.01 mg/kg IV. Before presentation for surgery: Omeprazol 1.5 mg/kg PO BID, Prednisolon 0.4 mg/kg PO SID, Hydrocodon 0.4 mg/kg PO BID. After surgery (before observation 7): 0.01 mg/kg IV.
Anesthesia: Intervention on 09.08: Intra-tracheal stent placement. Premedication: Butorphanol 0.2 mg/kg IM, Dexmedetomidin 0.007 mg/kg IM. Induction: Propofol 1.5 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2 (100%), Propofol CRI 6-8 mg/kg/h. Analgesia: IV Infusion (Dex)medetomidin 0.001 mg/kg IV, IV Infusion Lidocain 1.8 mg/kg/h. Wake up phase: postoperative sedation Acepromazin 0.01 mg/kg IV & Butorphanol 0.2 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 90 min. Intervention on 22.08: Stent control + Staphylectomy. Premedication at 10:12: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction (ca. 1h after premedication): Ketamin 1 mg/kg IV, Propofol 1.7 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Local Anaesthesia Lidocain infiltration. Intervention duration: 15 min. Anaesthesia duration: 30 min.
Pain type: no pain
Pain origin: No pain
Species: dog
Breed: Pomeranian
Sex: m, not neutered
Weight: 6.6 kg & 5.9 kg
Birth date: 2021-02-06 00:00:00
Primary diagnosis: Tracheal collaps (C3, C6), BOAS (elongated soft palate)
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Pamuk was presented to the private vet on 26 July due to massive dyspnoea/coughing. The owner had had the dog for a few days now days from her ex-partner, so she didn't know exactly how long the rattling and dyspnoea had been present. The dog already had rattling and reverse sneezing before. At the presentation the dog was very stressed, showed massive dyspnoea, stertorous breathing. The vet had suspicion of tracheal collapse, which was confirmed radiologically. The dog improved under therapy with steroids, atussin and codeine, he also received antibiotics (Amoxicillin / Clavulanic acid) for a few days, in addition as little exertion as possible, especially in the heat. At the time of the referral he was getting following medication: 2.5 mg Prednisolon BID, Atussin Mite TID, Codeine 12.5 mg BID. On the 08.08.2024 the dog was presented to our clinic, where a CT was performed and a tracheal collaps grade 1/2 cranially and grade 2/3 caudally was diagnosed. CT report (08.08): Moderate to severe multifocal tracheal collapse with axial rotation in the cervical region and at the thoracic inlet; Chronic discopathies C6/C7 and T11/T12; Multifocal spondylosis deformans. The following day a trecheal stent was placed and the dog went home the same day. On the 22.08.2024 the dog came back to check the stent position and to undergo a staphylectomy.
Medication: Before presentation and observation 1 (unclear exactly when the last time): Prednisolon 0.4 mg/kg PO BID, Atussin Mite syrup PO TID, Codeine 1.9 mg/kg PO BID. After observation 2: Butorphanol 0.2 mg/kg IV, Acepromazin 0.01 mg/kg IV. Before presentation for surgery: Omeprazol 1.5 mg/kg PO BID, Prednisolon 0.4 mg/kg PO SID, Hydrocodon 0.4 mg/kg PO BID. After surgery (before observation 7): 0.01 mg/kg IV.
Anesthesia: Intervention on 09.08: Intra-tracheal stent placement. Premedication: Butorphanol 0.2 mg/kg IM, Dexmedetomidin 0.007 mg/kg IM. Induction: Propofol 1.5 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2 (100%), Propofol CRI 6-8 mg/kg/h. Analgesia: IV Infusion (Dex)medetomidin 0.001 mg/kg IV, IV Infusion Lidocain 1.8 mg/kg/h. Wake up phase: postoperative sedation Acepromazin 0.01 mg/kg IV & Butorphanol 0.2 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 90 min. Intervention on 22.08: Stent control + Staphylectomy. Premedication at 10:12: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction (ca. 1h after premedication): Ketamin 1 mg/kg IV, Propofol 1.7 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Local Anaesthesia Lidocain infiltration. Intervention duration: 15 min. Anaesthesia duration: 30 min.
Pain type: acute, inflammatory, somatic
Pain origin: Soft palate
Estimated pain severity: 25
Species: dog
Breed: Pomeranian
Sex: m, not neutered
Weight: 6.6 kg & 5.9 kg
Birth date: 2021-02-07 00:00:00
Primary diagnosis: Tracheal collaps (C3, C6), BOAS (elongated soft palate)
Situation: Post-surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Pamuk was presented to the private vet on 26 July due to massive dyspnoea/coughing. The owner had had the dog for a few days now days from her ex-partner, so she didn't know exactly how long the rattling and dyspnoea had been present. The dog already had rattling and reverse sneezing before. At the presentation the dog was very stressed, showed massive dyspnoea, stertorous breathing. The vet had suspicion of tracheal collapse, which was confirmed radiologically. The dog improved under therapy with steroids, atussin and codeine, he also received antibiotics (Amoxicillin / Clavulanic acid) for a few days, in addition as little exertion as possible, especially in the heat. At the time of the referral he was getting following medication: 2.5 mg Prednisolon BID, Atussin Mite TID, Codeine 12.5 mg BID. On the 08.08.2024 the dog was presented to our clinic, where a CT was performed and a tracheal collaps grade 1/2 cranially and grade 2/3 caudally was diagnosed. CT report (08.08): Moderate to severe multifocal tracheal collapse with axial rotation in the cervical region and at the thoracic inlet; Chronic discopathies C6/C7 and T11/T12; Multifocal spondylosis deformans. The following day a trecheal stent was placed and the dog went home the same day. On the 22.08.2024 the dog came back to check the stent position and to undergo a staphylectomy.
Medication: Before presentation and observation 1 (unclear exactly when the last time): Prednisolon 0.4 mg/kg PO BID, Atussin Mite syrup PO TID, Codeine 1.9 mg/kg PO BID. After observation 2: Butorphanol 0.2 mg/kg IV, Acepromazin 0.01 mg/kg IV. Before presentation for surgery: Omeprazol 1.5 mg/kg PO BID, Prednisolon 0.4 mg/kg PO SID, Hydrocodon 0.4 mg/kg PO BID. After surgery (before observation 7): 0.01 mg/kg IV.
Anesthesia: Intervention on 09.08: Intra-tracheal stent placement. Premedication: Butorphanol 0.2 mg/kg IM, Dexmedetomidin 0.007 mg/kg IM. Induction: Propofol 1.5 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2 (100%), Propofol CRI 6-8 mg/kg/h. Analgesia: IV Infusion (Dex)medetomidin 0.001 mg/kg IV, IV Infusion Lidocain 1.8 mg/kg/h. Wake up phase: postoperative sedation Acepromazin 0.01 mg/kg IV & Butorphanol 0.2 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 90 min. Intervention on 22.08: Stent control + Staphylectomy. Premedication at 10:12: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction (ca. 1h after premedication): Ketamin 1 mg/kg IV, Propofol 1.7 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Local Anaesthesia Lidocain infiltration. Intervention duration: 15 min. Anaesthesia duration: 30 min.
Pain type: acute, inflammatory, somatic
Pain origin: Soft palate
Estimated pain severity: 15
Species: dog
Breed: Crossbreed
Sex: m, not neutered
Weight: 13.0 kg
Birth date: 2012-05-11 00:00:00
Primary diagnosis: Evans syndrome
Situation: emergency follow-up
Time since surgery: 4-6 hrs
Medical history: The dog was presentesd to us on the 03.10.2024. Toni has had dry coughing fits for 2 days. Before that he was completely normal. Once a drop of blood was coughed up. Since yesterday he has had black diarrhoea. He has been passing black diarrhoea about 4 times a day, without any other impurities. Before that his faeces were normal. During the night he was shaking and this morning he only ate half a portion, which is very unusual for him. Today he was taken to the private vet. Blood was taken and thrombocytopenia was diagnosed. X-rays were also taken. No treatment was started and Toni was referred to the small animal clinic in Bern. Toni is otherwise an old but healthy dog. He has no known illness. He was treated with antibiotics and painkillers about 2 months ago for gastritis, presumably of infectious origin. He is not currently on any medication. He has not had any cortisone in the last year. He is always walked on a lead and has not ingested anything in recent times that should not be ingested. There is no rat poison at home but snail poison in the garden (where he doesn't go). An abdominal ultrasound was performed - report: Peritonitis, partially nodular, and mild amount of peritoneal free fluid; Moderate cystic lymphadenoepahty/-megaly of the jejunal and pancreaticoduodenal lymph nodes --> Findings most likely related to acute inflammatory process, for example gastroenteritis, or abdominal hemorrhage secodnary to the thrombocytopenia leading to a peritonitis; Mesothelioma or carcinomatosis is much less likely; Cytic lymphadenomegaly is unspecific, likely reactive, less-likely metastatic. Toni was hospitalized for 2 days and then he was euthanized on the 05.10.2024.
Medication: Before presentation & before observation 1: no medication. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV. 03.10.2024 (after observation 2): Ondansetron 0.3 mg/kg IV TID, Buprenorphine 0.015 mg/kg IV TID, Omeprazol 1 mg/kg IV BID, Sucralfat 20 mg/kg PO TID, Prednisolon 2 mg/kg PO SID, Doxycyclin 10 mg/kg PO SID. 04.10: Ondansetron 0.3 mg/kg IV TID, Buprenorphine 0.015 mg/kg IV TID (not given before observation 4), Omeprazol 1 mg/kg IV BID, Sucralfat 20 mg/kg PO TID, Prednisolon 2 mg/kg PO SID (not given before observation 4), Doxycyclin 10 mg/kg PO SID (not given before observation 4).
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 30
Species: dog
Breed: Crossbreed
Sex: m, not neutered
Weight: 13.0 kg
Birth date: 2012-05-12 00:00:00
Primary diagnosis: Evans syndrome
Situation: emergency follow-up
Time since surgery: 2-4 hrs
Medical history: The dog was presentesd to us on the 03.10.2024. Toni has had dry coughing fits for 2 days. Before that he was completely normal. Once a drop of blood was coughed up. Since yesterday he has had black diarrhoea. He has been passing black diarrhoea about 4 times a day, without any other impurities. Before that his faeces were normal. During the night he was shaking and this morning he only ate half a portion, which is very unusual for him. Today he was taken to the private vet. Blood was taken and thrombocytopenia was diagnosed. X-rays were also taken. No treatment was started and Toni was referred to the small animal clinic in Bern. Toni is otherwise an old but healthy dog. He has no known illness. He was treated with antibiotics and painkillers about 2 months ago for gastritis, presumably of infectious origin. He is not currently on any medication. He has not had any cortisone in the last year. He is always walked on a lead and has not ingested anything in recent times that should not be ingested. There is no rat poison at home but snail poison in the garden (where he doesn't go). An abdominal ultrasound was performed - report: Peritonitis, partially nodular, and mild amount of peritoneal free fluid; Moderate cystic lymphadenoepahty/-megaly of the jejunal and pancreaticoduodenal lymph nodes --> Findings most likely related to acute inflammatory process, for example gastroenteritis, or abdominal hemorrhage secodnary to the thrombocytopenia leading to a peritonitis; Mesothelioma or carcinomatosis is much less likely; Cytic lymphadenomegaly is unspecific, likely reactive, less-likely metastatic. Toni was hospitalized for 2 days and then he was euthanized on the 05.10.2024.
Medication: Before presentation & before observation 1: no medication. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV. 03.10.2024 (after observation 2): Ondansetron 0.3 mg/kg IV TID, Buprenorphine 0.015 mg/kg IV TID, Omeprazol 1 mg/kg IV BID, Sucralfat 20 mg/kg PO TID, Prednisolon 2 mg/kg PO SID, Doxycyclin 10 mg/kg PO SID. 04.10: Ondansetron 0.3 mg/kg IV TID, Buprenorphine 0.015 mg/kg IV TID (not given before observation 4), Omeprazol 1 mg/kg IV BID, Sucralfat 20 mg/kg PO TID, Prednisolon 2 mg/kg PO SID (not given before observation 4), Doxycyclin 10 mg/kg PO SID (not given before observation 4).
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 35
Species: dog
Breed: Crossbreed
Sex: m, not neutered
Weight: 13.0 kg
Birth date: 2012-05-13 00:00:00
Primary diagnosis: Evans syndrome
Situation: emergency follow-up
Time since surgery: 4-6 hrs
Medical history: The dog was presentesd to us on the 03.10.2024. Toni has had dry coughing fits for 2 days. Before that he was completely normal. Once a drop of blood was coughed up. Since yesterday he has had black diarrhoea. He has been passing black diarrhoea about 4 times a day, without any other impurities. Before that his faeces were normal. During the night he was shaking and this morning he only ate half a portion, which is very unusual for him. Today he was taken to the private vet. Blood was taken and thrombocytopenia was diagnosed. X-rays were also taken. No treatment was started and Toni was referred to the small animal clinic in Bern. Toni is otherwise an old but healthy dog. He has no known illness. He was treated with antibiotics and painkillers about 2 months ago for gastritis, presumably of infectious origin. He is not currently on any medication. He has not had any cortisone in the last year. He is always walked on a lead and has not ingested anything in recent times that should not be ingested. There is no rat poison at home but snail poison in the garden (where he doesn't go). An abdominal ultrasound was performed - report: Peritonitis, partially nodular, and mild amount of peritoneal free fluid; Moderate cystic lymphadenoepahty/-megaly of the jejunal and pancreaticoduodenal lymph nodes --> Findings most likely related to acute inflammatory process, for example gastroenteritis, or abdominal hemorrhage secodnary to the thrombocytopenia leading to a peritonitis; Mesothelioma or carcinomatosis is much less likely; Cytic lymphadenomegaly is unspecific, likely reactive, less-likely metastatic. Toni was hospitalized for 2 days and then he was euthanized on the 05.10.2024.
Medication: Before presentation & before observation 1: no medication. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV. 03.10.2024 (after observation 2): Ondansetron 0.3 mg/kg IV TID, Buprenorphine 0.015 mg/kg IV TID, Omeprazol 1 mg/kg IV BID, Sucralfat 20 mg/kg PO TID, Prednisolon 2 mg/kg PO SID, Doxycyclin 10 mg/kg PO SID. 04.10: Ondansetron 0.3 mg/kg IV TID, Buprenorphine 0.015 mg/kg IV TID (not given before observation 4), Omeprazol 1 mg/kg IV BID, Sucralfat 20 mg/kg PO TID, Prednisolon 2 mg/kg PO SID (not given before observation 4), Doxycyclin 10 mg/kg PO SID (not given before observation 4).
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 30
Species: dog
Breed: Crossbreed
Sex: m, not neutered
Weight: 13.0 kg
Birth date: 2012-05-14 00:00:00
Primary diagnosis: Evans syndrome
Situation: hospitalized
Medical history: The dog was presentesd to us on the 03.10.2024. Toni has had dry coughing fits for 2 days. Before that he was completely normal. Once a drop of blood was coughed up. Since yesterday he has had black diarrhoea. He has been passing black diarrhoea about 4 times a day, without any other impurities. Before that his faeces were normal. During the night he was shaking and this morning he only ate half a portion, which is very unusual for him. Today he was taken to the private vet. Blood was taken and thrombocytopenia was diagnosed. X-rays were also taken. No treatment was started and Toni was referred to the small animal clinic in Bern. Toni is otherwise an old but healthy dog. He has no known illness. He was treated with antibiotics and painkillers about 2 months ago for gastritis, presumably of infectious origin. He is not currently on any medication. He has not had any cortisone in the last year. He is always walked on a lead and has not ingested anything in recent times that should not be ingested. There is no rat poison at home but snail poison in the garden (where he doesn't go). An abdominal ultrasound was performed - report: Peritonitis, partially nodular, and mild amount of peritoneal free fluid; Moderate cystic lymphadenoepahty/-megaly of the jejunal and pancreaticoduodenal lymph nodes --> Findings most likely related to acute inflammatory process, for example gastroenteritis, or abdominal hemorrhage secodnary to the thrombocytopenia leading to a peritonitis; Mesothelioma or carcinomatosis is much less likely; Cytic lymphadenomegaly is unspecific, likely reactive, less-likely metastatic. Toni was hospitalized for 2 days and then he was euthanized on the 05.10.2024.
Medication: Before presentation & before observation 1: no medication. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV. 03.10.2024 (after observation 2): Ondansetron 0.3 mg/kg IV TID, Buprenorphine 0.015 mg/kg IV TID, Omeprazol 1 mg/kg IV BID, Sucralfat 20 mg/kg PO TID, Prednisolon 2 mg/kg PO SID, Doxycyclin 10 mg/kg PO SID. 04.10: Ondansetron 0.3 mg/kg IV TID, Buprenorphine 0.015 mg/kg IV TID (not given before observation 4), Omeprazol 1 mg/kg IV BID, Sucralfat 20 mg/kg PO TID, Prednisolon 2 mg/kg PO SID (not given before observation 4), Doxycyclin 10 mg/kg PO SID (not given before observation 4).
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 15
Species: dog
Breed: Tibet Terrier
Sex: m, neutered
Weight: 12.5 kg
Birth date: 2014-01-01 00:00:00
Primary diagnosis: Degenerative or neoplastic disease L4-S3
Situation: emergency initial
Medical history: On the 09.10 the dog was outside and suddenly he screaming (no trauma). After he showed posterior ataxia and looked painful. They went to the private vet. Clinical examination: walking in kyphosis, slight posterior ataxia right>left; proprioception ok, palpation of lumbar vertebrae (L3-L5) painful. The vet took x-rays that showed no signs of osteoarthritis, had a suspicion of intravertebral disc extrusion and injected Meloxicam and Buprenorphine. The dog was sent home under therapy with: Meloxicam 0.12 mg/kg PO SID, and Gabapentine 8 mg/kg PO BID. The dog stopped eating on the 09.10 and still showed ataxia on the 11.10. He was referred to our clinic on the 11.10 and was sent home the same day, without doing any further examinations.
Medication: Before presentation: Meloxicam 0.12 mg/kg PO SID, and Gabapentine 8 mg/kg PO BID. No medication during the stay at our clinic.
Neurologic exam: Mentation: normal, stressed. Posture: lumbar kyphosis, hips held low, knees bent. Gait: Ambulatory ataxic paraparesis more pronounced on the right, occasionally the hind left limb slips outwards, lies against the wall especially on the right. Postural reactions: Hopping and placement response reduced in both hindlimbs, right more than left, front limbs both normal. Cranial nerves: no deficits. Spinal reflexes: Muscle tone reduced on hindlimbs, flexor reflex slightly reduced on both hindlimbs, panniculus slightly reduced on the right, otherwise normal. Sensitivity: dolent on lumbosacral palpation. Neuroanatomical localisation: L4-S3.
Pain type: nociceptive, somatic
Pain origin: back
Pain duration: 24 hours to 7 days
Estimated pain severity: 37
Species: dog
Breed: Border Collie
Sex: m, not neutered
Weight: 16.2 kg
Birth date: 2015-11-01 00:00:00
Primary diagnosis: Gastroenteritis / Colitis
Situation: emergency initial
Medical history: The dog was presented to the emergency department on the 23.10.2024. Until the day before everything was fine. The owner changed the treats. During the night the dog started drinking a lot, then vomited and developed diarrhoea. In the morning the dog didn't want to eat. During the walk he was still quite okay but then he got really calm. The private vet took x-rays and had a suspicion of ileus. A fluis bolus and Methadon were given and then the dog was referred to us. An abdominal ultrasound was performed - report (23.10): Mild gastroenterocolopathy, with decreased small intestinal and gastric motility and diarrhea; Mild jejunal lymphadenomegaly; Benign prostatic hyperplasia --> Findings consistent with a gastroenteritis/colitis which could be either of parasitic, viral, toxic, bacterial, dietary origin; Jejunal lymphadenomegaly likely reactive. The dog stayed hospitalized for a few days and went home on the 25.10.
Medication: Long-term medication: Yellox eye drops right eye 1 drop BID. Before presentation at 11:30: Methadon 0.2 mg/kg IV. Between observation 1&2: Ondansetron 0.5 mg/kg IV, Maropitant 1 mg/kg IV. 24.10 after observation 2: Yellox eye drops right eye 1 drop BID, Buprenorphin 0.01 mg/kg IV TID, Ondansetron 0.5 mg/kg IV TID (already given bevore observation 2 1x, then at 24), Maropitant 1 mg/kg IV SID (already given before observation 2), Ampicillin Sulbactam 30 mg/kg IV TID, Metoclopramid CRI 2 mg/kg/d IV. 24.10 (nothing given before observation 3): Yellox eye drops right eye 1 drop BID, Buprenorphin 0.01 mg/kg IV TID, Ondansetron 0.5 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ampicillin Sulbactam 30 mg/kg IV TID, Metoclopramid CRI 2 mg/kg/d IV, Pro-Kolin 5 ml PO BID, Psyllium PO BID. 25.10 (nothing given before observation 4): Yellox & Ondansetron & Maropitant & Ampicillin & Metoclopramid & Pro-Kolin & Psyllium same as on 24.10.
Pain type: acute, inflammatory, visceral
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 62
Species: dog
Breed: Border Collie
Sex: m, not neutered
Weight: 16.2 kg
Birth date: 2015-11-02 00:00:00
Primary diagnosis: Gastroenteritis / Colitis
Situation: emergency initial
Medical history: The dog was presented to the emergency department on the 23.10.2024. Until the day before everything was fine. The owner changed the treats. During the night the dog started drinking a lot, then vomited and developed diarrhoea. In the morning the dog didn't want to eat. During the walk he was still quite okay but then he got really calm. The private vet took x-rays and had a suspicion of ileus. A fluis bolus and Methadon were given and then the dog was referred to us. An abdominal ultrasound was performed - report (23.10): Mild gastroenterocolopathy, with decreased small intestinal and gastric motility and diarrhea; Mild jejunal lymphadenomegaly; Benign prostatic hyperplasia --> Findings consistent with a gastroenteritis/colitis which could be either of parasitic, viral, toxic, bacterial, dietary origin; Jejunal lymphadenomegaly likely reactive. The dog stayed hospitalized for a few days and went home on the 25.10.
Medication: Long-term medication: Yellox eye drops right eye 1 drop BID. Before presentation at 11:30: Methadon 0.2 mg/kg IV. Between observation 1&2: Ondansetron 0.5 mg/kg IV, Maropitant 1 mg/kg IV. 24.10 after observation 2: Yellox eye drops right eye 1 drop BID, Buprenorphin 0.01 mg/kg IV TID, Ondansetron 0.5 mg/kg IV TID (already given bevore observation 2 1x, then at 24), Maropitant 1 mg/kg IV SID (already given before observation 2), Ampicillin Sulbactam 30 mg/kg IV TID, Metoclopramid CRI 2 mg/kg/d IV. 24.10 (nothing given before observation 3): Yellox eye drops right eye 1 drop BID, Buprenorphin 0.01 mg/kg IV TID, Ondansetron 0.5 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ampicillin Sulbactam 30 mg/kg IV TID, Metoclopramid CRI 2 mg/kg/d IV, Pro-Kolin 5 ml PO BID, Psyllium PO BID. 25.10 (nothing given before observation 4): Yellox & Ondansetron & Maropitant & Ampicillin & Metoclopramid & Pro-Kolin & Psyllium same as on 24.10.
Pain type: acute, inflammatory, visceral
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 62
Species: dog
Breed: Border Collie
Sex: m, not neutered
Weight: 16.2 kg
Birth date: 2015-11-03 00:00:00
Primary diagnosis: Gastroenteritis / Colitis
Situation: hospitalized
Medical history: The dog was presented to the emergency department on the 23.10.2024. Until the day before everything was fine. The owner changed the treats. During the night the dog started drinking a lot, then vomited and developed diarrhoea. In the morning the dog didn't want to eat. During the walk he was still quite okay but then he got really calm. The private vet took x-rays and had a suspicion of ileus. A fluis bolus and Methadon were given and then the dog was referred to us. An abdominal ultrasound was performed - report (23.10): Mild gastroenterocolopathy, with decreased small intestinal and gastric motility and diarrhea; Mild jejunal lymphadenomegaly; Benign prostatic hyperplasia --> Findings consistent with a gastroenteritis/colitis which could be either of parasitic, viral, toxic, bacterial, dietary origin; Jejunal lymphadenomegaly likely reactive. The dog stayed hospitalized for a few days and went home on the 25.10.
Medication: Long-term medication: Yellox eye drops right eye 1 drop BID. Before presentation at 11:30: Methadon 0.2 mg/kg IV. Between observation 1&2: Ondansetron 0.5 mg/kg IV, Maropitant 1 mg/kg IV. 24.10 after observation 2: Yellox eye drops right eye 1 drop BID, Buprenorphin 0.01 mg/kg IV TID, Ondansetron 0.5 mg/kg IV TID (already given bevore observation 2 1x, then at 24), Maropitant 1 mg/kg IV SID (already given before observation 2), Ampicillin Sulbactam 30 mg/kg IV TID, Metoclopramid CRI 2 mg/kg/d IV. 24.10 (nothing given before observation 3): Yellox eye drops right eye 1 drop BID, Buprenorphin 0.01 mg/kg IV TID, Ondansetron 0.5 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ampicillin Sulbactam 30 mg/kg IV TID, Metoclopramid CRI 2 mg/kg/d IV, Pro-Kolin 5 ml PO BID, Psyllium PO BID. 25.10 (nothing given before observation 4): Yellox & Ondansetron & Maropitant & Ampicillin & Metoclopramid & Pro-Kolin & Psyllium same as on 24.10.
Pain type: acute, inflammatory, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 32
Species: dog
Breed: Crossbreed
Sex: f, not neutered (neutered during surgery)
Weight: 24.8 kg
Birth date: 2019-06-03 00:00:00
Primary diagnosis: Elective castration
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Healthy dog, came for castration on the 24.10.2024 and went home the same day.
Medication: Before presentation: no medication. Before observation 2: Buprenorphin 0.015 mg/kg IV, Meloxicam 0.2 mg/kg IV, Dexmedetomidin 0.001 mg/kg IV.
Anesthesia: Intervention on 24.10.2024: Ovariohysterectomy. Premedication at 11:00: Dexmedetomidin 0.005 mg/kg IM, Methadon 0.3 mg/kg IM, Ketamin 1 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Methadon 0.15 mg/kg IV, Local anaesthesia Lidocain 3.2 mg/kg (4 ml). Wake up phase: postoperative sedation Dexmedetomidin 0.001 mg/kg IV, Bolus Buprenorphin 0.015 mg/kg IV, Bolus Meloxicam 0.2 mg/kg IV. Intervention duration: 150 min. Anaesthesia duration: 190 min.
Pain type: no pain
Pain duration: Less than 24 hours
Estimated pain severity: 31
Species: dog
Breed: Crossbreed
Sex: f, not neutered (neutered during surgery)
Weight: 24.8 kg
Birth date: 2019-06-04 00:00:00
Primary diagnosis: Elective castration
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Healthy dog, came for castration on the 24.10.2024 and went home the same day.
Medication: Before presentation: no medication. Before observation 2: Buprenorphin 0.015 mg/kg IV, Meloxicam 0.2 mg/kg IV, Dexmedetomidin 0.001 mg/kg IV.
Anesthesia: Intervention on 24.10.2024: Ovariohysterectomy. Premedication at 11:00: Dexmedetomidin 0.005 mg/kg IM, Methadon 0.3 mg/kg IM, Ketamin 1 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Methadon 0.15 mg/kg IV, Local anaesthesia Lidocain 3.2 mg/kg (4 ml). Wake up phase: postoperative sedation Dexmedetomidin 0.001 mg/kg IV, Bolus Buprenorphin 0.015 mg/kg IV, Bolus Meloxicam 0.2 mg/kg IV. Intervention duration: 150 min. Anaesthesia duration: 190 min.
Pain type: acute, visceral
Pain duration: Less than 24 hours
Estimated pain severity: 36
Species: dog
Breed: Crossbreed
Sex: f, not neutered (neutered during surgery)
Weight: 24.8 kg
Birth date: 2019-06-05 00:00:00
Primary diagnosis: Elective castration
Situation: Post-surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Healthy dog, came for castration on the 24.10.2024 and went home the same day.
Medication: Before presentation: no medication. Before observation 2: Buprenorphin 0.015 mg/kg IV, Meloxicam 0.2 mg/kg IV, Dexmedetomidin 0.001 mg/kg IV.
Anesthesia: Intervention on 24.10.2024: Ovariohysterectomy. Premedication at 11:00: Dexmedetomidin 0.005 mg/kg IM, Methadon 0.3 mg/kg IM, Ketamin 1 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Methadon 0.15 mg/kg IV, Local anaesthesia Lidocain 3.2 mg/kg (4 ml). Wake up phase: postoperative sedation Dexmedetomidin 0.001 mg/kg IV, Bolus Buprenorphin 0.015 mg/kg IV, Bolus Meloxicam 0.2 mg/kg IV. Intervention duration: 150 min. Anaesthesia duration: 190 min.
Pain type: acute, visceral
Pain duration: Less than 24 hours
Estimated pain severity: 37
Species: dog
Breed: Yorkshire Terrier
Sex: f, not neutered
Weight: 3.29 kg
Birth date: 2012-05-30 00:00:00
Primary diagnosis: Pyometra, herniation of abdominal organs
Situation: emergency initial
Medical history: Lucy was presented on 28.10.24 at emergency department because of an abdominal mass. The mass in the caudal abdomen on the left side was already seen in August-September at the German veterinarian. No treatment was advised since he thought it was due to the constipation. Since 3 weeks Lucy gained a lot of weight and the mass became bigger. The owner told that Lucy is also constipated at the moment but she doesn't exactly know the last time she made faeces. Since yesterday Lucy also had anorexia and adipsie. This night and morning she behave abnormally, she's hiding, not feeling well, shivering. Saturday the owner gave 1x one of the supplements to Lucy. At our clinic we had the suspicion of pyometra, which was confirmed with an abdominal ultrasound. Ultrasound report (28.10): Severe uterine distension; Large caudal abdominal wall hernia --> likely pyometra/hemometra. The dog then underwent surgery on the same day.
Medication: No medication before presentation. Before observation 2 (not 100% sure in everything was given before, quite sure for the Methadon): Ondansetron 0.5 mg/kg IV, Methadon 0.1 mg/kg IV, Ampicillin 30 mg/kg IV. 28.10: Methadon 0.2 mg/kg IV q4h, Paracetamol 10 mg/kg IV TID, Ondansetron 0.5 mg/kg IV TID, Ampicillin Sulbactam 30 mg/kg IV TID. 29.10 (nothing given before observation 4): Paracetamol & Ondansetron 0.5 mg/kg IV TID & Ampicillin Sulbactam same as on 28.10, Meloxicam 0.1 mg/kg IV SID, Methadon 0.2 mg/kg IV at 09 and 13 then switch to Buprenorphin 0.01 mg/kg IV TID. 30.10 (nothing given before observation 5): Buprenorphin & Paracetamol & Ondansetron 0.5 mg/kg IV TID & Ampicillin Sulbactam & Meloxicam same as on 29.10.
Anesthesia: Intervention on 28.10.2024: Ovariohysterectomy, herniorrhaphy. Premedication at 15: Methadon 0.2 mg/kg IV. Induction: Ketamin 1 mg/kg IV, Midazolam 0.2 mg/kg IV, Propofol IV (dosis unknown). Maintenance: FiO2, Isofluran. Analgesia: Bolus Fentanyl (dosis unknown), Bolus Ketamin (dosis unknown), Infusion Fentanyl (dosis unknown), Infusion Lidocain (dosis unknown), local anaesthesia Ropivacain splash block on abdominal wall (dosis unknown). Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Wake up phase: Bolus Methadon 0.2 mg/kg IV. Intervention duration: 100 min. Anaesthesia duration: 180 min.
Pain type: visceral,
Pain duration: More than 7 days
Estimated pain severity: 43
Species: dog
Breed: Bolonka Zwetna
Sex: m, neutered
Weight: 7.9 kg
Birth date: 2014-07-07 00:00:00
Primary diagnosis: Suspicion of bilateral cruciate ligament rupture and patellar luxation
Situation: hospitalized
Medical history: Chicco was presented at our clinic on the 28.10.2024. He first was presented at a private veterinarian on the 16.10 --> anamnesis: Lame for 2-3 months after lying on the left side; Sometimes irregular when walking; Can climb stairs, less keen on jumping up; More and more, at first only when starting to walk: now 2-3 minutes. Therapy with Previcox was started but the symptoms didn't get better. On the 25.10 it was decided to continue with Previcox (Firocoxib 57 mg PO SID) and to add Sirdalud (Tizanidin 0.5 mg PO BID). Since the 27.10 at lunchtime he has been acutely lame in both hind limbs, he didn't walk anymore and didn't put any weight on his left hindlimb. His general condition has also been reduced since that day. Chicco always jumps off the sofa. A traumatic injury can therefore not be ruled out. At our clinic a bilateral cruciate ligament rupture with patellar luxation was suspected. The dog was sent home on the same day with conservative therapy (Meloxicam & Gabapentin). On the 04.11 the dog came back to take radiographs and also surgery was directly performed. X-rays report (04.11): Bilateral: stifle joint instability with cranial tibial subluxation, stifle joint swelling, shallow trochlea ossis femoris, mild osteoarthrosis of the stifle joint ( left> right) --> Findings suggestive of bilateral cranial cruciate ligament disease; Shallow trochlea may suggest a patellar luxation, which predisposes to cranial cruciate ligament rupture/tear; Coxofemoral joints are unremarkable, considering the age and breed.
Medication: Before presentation on 28.10 (probably last time the morning of presentation): Firocoxib 7 mg/kg PO SID, Tizanidin 0.06 mg PO BID. Before observation 2: Buprenorphin 0.01 mg/kg IV. Before presentation on 04.11: Meloxicam 0.1 mg/kg PO SID, Gabapentin 10 mg/kg PO TID.
Orthopedic exam: Orthopedic examination performed quickly in emergency room on 28.10. Slight to moderate swelling of knee joints (R>L), painful on manipulation. Crepitus on both sides during knee joint mobilisation (questionable for mensic instability). Positive drawer test on both sides. Patella dislocation at least grade 2 on both sides.
Pain type: acute, inflammatory, visceral
Pain origin: hind legs
Pain duration: 24 hours to 7 days
Estimated pain severity: 28
Species: dog
Breed: Bolonka Zwetna
Sex: m, neutered
Weight: 7.9 kg
Birth date: 2014-07-08 00:00:00
Primary diagnosis: Suspicion of bilateral cruciate ligament rupture and patellar luxation
Situation: emergency initial
Medical history: Chicco was presented at our clinic on the 28.10.2024. He first was presented at a private veterinarian on the 16.10 --> anamnesis: Lame for 2-3 months after lying on the left side; Sometimes irregular when walking; Can climb stairs, less keen on jumping up; More and more, at first only when starting to walk: now 2-3 minutes. Therapy with Previcox was started but the symptoms didn't get better. On the 25.10 it was decided to continue with Previcox (Firocoxib 57 mg PO SID) and to add Sirdalud (Tizanidin 0.5 mg PO BID). Since the 27.10 at lunchtime he has been acutely lame in both hind limbs, he didn't walk anymore and didn't put any weight on his left hindlimb. His general condition has also been reduced since that day. Chicco always jumps off the sofa. A traumatic injury can therefore not be ruled out. At our clinic a bilateral cruciate ligament rupture with patellar luxation was suspected. The dog was sent home on the same day with conservative therapy (Meloxicam & Gabapentin). On the 04.11 the dog came back to take radiographs and also surgery was directly performed. X-rays report (04.11): Bilateral: stifle joint instability with cranial tibial subluxation, stifle joint swelling, shallow trochlea ossis femoris, mild osteoarthrosis of the stifle joint ( left> right) --> Findings suggestive of bilateral cranial cruciate ligament disease; Shallow trochlea may suggest a patellar luxation, which predisposes to cranial cruciate ligament rupture/tear; Coxofemoral joints are unremarkable, considering the age and breed.
Medication: Before presentation on 28.10 (probably last time the morning of presentation): Firocoxib 7 mg/kg PO SID, Tizanidin 0.06 mg PO BID. Before observation 2: Buprenorphin 0.01 mg/kg IV. Before presentation on 04.11: Meloxicam 0.1 mg/kg PO SID, Gabapentin 10 mg/kg PO TID.
Orthopedic exam: Orthopedic examination performed quickly in emergency room on 28.10. Slight to moderate swelling of knee joints (R>L), painful on manipulation. Crepitus on both sides during knee joint mobilisation (questionable for mensic instability). Positive drawer test on both sides. Patella dislocation at least grade 2 on both sides.
Pain type: acute, chronic, orthopedic, somatic
Pain origin: hind legs
Pain duration: 24 hours to 7 days
Estimated pain severity: 53
Species: dog
Breed: Bolonka Zwetna
Sex: m, neutered
Weight: 7.9 kg
Birth date: 2014-07-09 00:00:00
Primary diagnosis: Suspicion of bilateral cruciate ligament rupture and patellar luxation
Situation: emergency follow-up
Time since surgery: 0-2 hrs
Medical history: Chicco was presented at our clinic on the 28.10.2024. He first was presented at a private veterinarian on the 16.10 --> anamnesis: Lame for 2-3 months after lying on the left side; Sometimes irregular when walking; Can climb stairs, less keen on jumping up; More and more, at first only when starting to walk: now 2-3 minutes. Therapy with Previcox was started but the symptoms didn't get better. On the 25.10 it was decided to continue with Previcox (Firocoxib 57 mg PO SID) and to add Sirdalud (Tizanidin 0.5 mg PO BID). Since the 27.10 at lunchtime he has been acutely lame in both hind limbs, he didn't walk anymore and didn't put any weight on his left hindlimb. His general condition has also been reduced since that day. Chicco always jumps off the sofa. A traumatic injury can therefore not be ruled out. At our clinic a bilateral cruciate ligament rupture with patellar luxation was suspected. The dog was sent home on the same day with conservative therapy (Meloxicam & Gabapentin). On the 04.11 the dog came back to take radiographs and also surgery was directly performed. X-rays report (04.11): Bilateral: stifle joint instability with cranial tibial subluxation, stifle joint swelling, shallow trochlea ossis femoris, mild osteoarthrosis of the stifle joint ( left> right) --> Findings suggestive of bilateral cranial cruciate ligament disease; Shallow trochlea may suggest a patellar luxation, which predisposes to cranial cruciate ligament rupture/tear; Coxofemoral joints are unremarkable, considering the age and breed.
Medication: Before presentation on 28.10 (probably last time the morning of presentation): Firocoxib 7 mg/kg PO SID, Tizanidin 0.06 mg PO BID. Before observation 2: Buprenorphin 0.01 mg/kg IV. Before presentation on 04.11: Meloxicam 0.1 mg/kg PO SID, Gabapentin 10 mg/kg PO TID.
Orthopedic exam: Orthopedic examination performed quickly in emergency room on 28.10. Slight to moderate swelling of knee joints (R>L), painful on manipulation. Crepitus on both sides during knee joint mobilisation (questionable for mensic instability). Positive drawer test on both sides. Patella dislocation at least grade 2 on both sides.
Pain type: acute, chronic, orthopedic, somatic
Pain origin: hind legs
Pain duration: 24 hours to 7 days
Estimated pain severity: 37
Species: dog
Breed: Boxer
Sex: f, not neutered
Weight: 26.8 kg
Birth date: 2022-03-01 00:00:00
Primary diagnosis: Bilateral chronic nephropathy
Situation: emergency initial
Medical history: Brida was presented to our emergency department on 31.10.2024 because of weakness, reduction in appetite and elevated kidney values on that day's private vet blood test. Brida's last heat started 6 weeks ago and ended 3 weeks ago. Since then, Brida has not been herself: she is much less enthusiastic than usual, she does not play, is weaker than usual and has reduced appetite since 2 days. Halithosis was also noticed since the heat (i.e. before 6 weeks). The dog was hospitalized, the day after an abdominal ultrasound was performed and she was then sent home. Ultrasound report (01.11): Bilateral marked nephropathy; Moderate gastric dilation with mixed content --> Bilateral marked nephropathy compatible with chronic kidney disease with multiple chronic infartcs; Underlying congenital dysplasia cannot be excluded; Mild thickening of the wall of the renal pelvis and ureter may be secondary to chronic renal disease; Concurrent early pyelonephritis cannot be completely ruled out; Moderate gastric dilation: correlate with time of last meal; Consider decreased motility/outflow, early/mild gastritis.
Medication: No medication before presentation. Before observation 2: Ondansetron 0.5 mg/kg IV, Omeprazol 1 mg/kg IV, Burenorphin 0.015 mg/kg IV, Ampicillin 30 mg/kg IV. Started/continued fter observation 2: Ondansetron 0.5mg/kg IV TID, Omeprazol 1 mg/kg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID, Gabapentin 10 mg/kg PO TID if needed (given 1x at 17), Buprenorphin 0.015 mg/kg IV TID if needed (not given), Maropitant 1 mg/kg IV at 21. 01.11 (nothing given before observation 3): Ondansetron 0.5mg/kg IV TID, Omeprazol 1 mg/kg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID, Gabapentin 10 mg/kg PO TID, Cisaprid 0.5 mg/kg PO TID.
Pain type: subacute, visceral
Pain origin: abdomen
Pain duration: More than 7 days
Estimated pain severity: 38
Species: dog
Breed: Boxer
Sex: f, not neutered
Weight: 26.8 kg
Birth date: 2022-03-02 00:00:00
Primary diagnosis: Bilateral chronic nephropathy
Situation: emergency follow-up
Time since surgery: 0-2 hrs
Medical history: Brida was presented to our emergency department on 31.10.2024 because of weakness, reduction in appetite and elevated kidney values on that day's private vet blood test. Brida's last heat started 6 weeks ago and ended 3 weeks ago. Since then, Brida has not been herself: she is much less enthusiastic than usual, she does not play, is weaker than usual and has reduced appetite since 2 days. Halithosis was also noticed since the heat (i.e. before 6 weeks). The dog was hospitalized, the day after an abdominal ultrasound was performed and she was then sent home. Ultrasound report (01.11): Bilateral marked nephropathy; Moderate gastric dilation with mixed content --> Bilateral marked nephropathy compatible with chronic kidney disease with multiple chronic infartcs; Underlying congenital dysplasia cannot be excluded; Mild thickening of the wall of the renal pelvis and ureter may be secondary to chronic renal disease; Concurrent early pyelonephritis cannot be completely ruled out; Moderate gastric dilation: correlate with time of last meal; Consider decreased motility/outflow, early/mild gastritis.
Medication: No medication before presentation. Before observation 2: Ondansetron 0.5 mg/kg IV, Omeprazol 1 mg/kg IV, Burenorphin 0.015 mg/kg IV, Ampicillin 30 mg/kg IV. Started/continued fter observation 2: Ondansetron 0.5mg/kg IV TID, Omeprazol 1 mg/kg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID, Gabapentin 10 mg/kg PO TID if needed (given 1x at 17), Buprenorphin 0.015 mg/kg IV TID if needed (not given), Maropitant 1 mg/kg IV at 21. 01.11 (nothing given before observation 3): Ondansetron 0.5mg/kg IV TID, Omeprazol 1 mg/kg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID, Gabapentin 10 mg/kg PO TID, Cisaprid 0.5 mg/kg PO TID.
Pain type: subacute, visceral
Pain origin: abdomen
Pain duration: More than 7 days
Estimated pain severity: 27