oliveirabruno01/openfarm-dog-pain huggingface dataset:
Species: dog
Breed: Bearded Collie
Sex: m, not neutered
Weight: 23.9 kg
Birth date: 2014-06-07 00:00:00
Primary diagnosis: Bilateral bicpital chronic tenosynovitis and shoulder osteoarthritis, bilateral medial coronoid process disease and elbow osteoarthtis (& others, see medical history)
Situation: pre surgery
Medical history: Chronic biceps tendinitis right limb for 4 years. Ultrasound report 27.05.2024: Bilateral bicipital chronic tenosynovitis (R>L) with a potential active component on the right; Cystic structure craniomedial to the right bicipital tendon; Left sided carpal and elbow osteoarthritis with suspected chronic medial flexor enthesopathy. CT report (10.06): L7 asymmetrical transitional vertebra, associated with a chronic left sided disc protrusion L6-7, L7-S1 left-ventrolateral spondylosis deformans and secondary intervertebral foraminal stenosis. Secondary left hind muscular atrophy; Bilateral bicpital chronic tenosynovitis and shoulder osteoarthritis; Bilateral elbow displasia due to medial coronoid process disease and elbow osteoarthtis; Bilateral carpal osteoarhtritis, more pronounced medially, and multifocal interphalangeal and proximal interphalangeal osteoarthritis; Mild bilateral coxofemoral osteoarthritis; Incidental bilateral chronic renal infarcts; Normal head and thorax. The dog came today for left ellbow arthroscopy left and right shoulder arthroscopy.
Medication: Before presentation probably: Carprofen 4.2 mg/kg PO SID, Omeprazol 0.8 mg/kg PO SID. After surgery: Carprofen 4 mg/kg IV.
Anesthesia: Intervention on 18.06.2024: ellbow arthroscopy left and shoulder arthroscopy right. Premedication at 08:10: Acepromazine 0.01 mg/kg IM, Methadon 0.2 mg/kg IM. Induction: Propofol 2 mg/kg IV, Ketamin 1 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia epidural lidocain 2.5 ml & local in joints Ropivavain 0.5 mg/kg with Morphin 0.2 mg/kg. Antibiotics: Cefazolin 22 mg/kg IV. Complications: in preparation room hypotension and bracycardia -> RA Boli, then in surgery hypotension -> Glycopyrrolate 0.01 mg/kg. Intervention duration: 120 min. Anaesthesia duration: 220 min.
Pain type: chronic, inflammatory, neuropathic, orthopedic, somatic
Pain origin: front legs
Estimated pain severity: 30
Species: dog
Breed: Bearded Collie
Sex: m, not neutered
Weight: 23.9 kg
Birth date: 2014-06-08 00:00:00
Primary diagnosis: Bilateral bicpital chronic tenosynovitis and shoulder osteoarthritis, bilateral medial coronoid process disease and elbow osteoarthtis (& others, see medical history)
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Chronic biceps tendinitis right limb for 4 years. Ultrasound report 27.05.2024: Bilateral bicipital chronic tenosynovitis (R>L) with a potential active component on the right; Cystic structure craniomedial to the right bicipital tendon; Left sided carpal and elbow osteoarthritis with suspected chronic medial flexor enthesopathy. CT report (10.06): L7 asymmetrical transitional vertebra, associated with a chronic left sided disc protrusion L6-7, L7-S1 left-ventrolateral spondylosis deformans and secondary intervertebral foraminal stenosis. Secondary left hind muscular atrophy; Bilateral bicpital chronic tenosynovitis and shoulder osteoarthritis; Bilateral elbow displasia due to medial coronoid process disease and elbow osteoarthtis; Bilateral carpal osteoarhtritis, more pronounced medially, and multifocal interphalangeal and proximal interphalangeal osteoarthritis; Mild bilateral coxofemoral osteoarthritis; Incidental bilateral chronic renal infarcts; Normal head and thorax. The dog came today for left ellbow arthroscopy left and right shoulder arthroscopy.
Medication: Before presentation probably: Carprofen 4.2 mg/kg PO SID, Omeprazol 0.8 mg/kg PO SID. After surgery: Carprofen 4 mg/kg IV.
Anesthesia: Intervention on 18.06.2024: ellbow arthroscopy left and shoulder arthroscopy right. Premedication at 08:10: Acepromazine 0.01 mg/kg IM, Methadon 0.2 mg/kg IM. Induction: Propofol 2 mg/kg IV, Ketamin 1 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia epidural lidocain 2.5 ml & local in joints Ropivavain 0.5 mg/kg with Morphin 0.2 mg/kg. Antibiotics: Cefazolin 22 mg/kg IV. Complications: in preparation room hypotension and bracycardia -> RA Boli, then in surgery hypotension -> Glycopyrrolate 0.01 mg/kg. Intervention duration: 120 min. Anaesthesia duration: 220 min.
Pain type: acute, chronic, inflammatory, neuropathic, orthopedic, somatic
Pain origin: front legs
Estimated pain severity: 20
Species: dog
Breed: Crossbreed
Sex: m, not neutered (neutered during surgery)
Weight: 3.6 kg
Birth date: 2017-04-26 00:00:00
Primary diagnosis: Uroliths bladder & urethra & kidney, prostatopathy, mitral valve endocardiosis
Situation: pre surgery
Medical history: Coffee was referred to us on 17.06. because of an acute urethral obstruction. Approximately 2 months previously, he had suffered an episode of cystitis and was already having difficulty passing urine. A check-up at the private vet on 17.06. and X-rays of the abdomen revealed multiple urinary stones in the bladder and urethra, as well as mineral deposits in the kidneys. A heart murmur was also identified and Coffee was taking the following medications: Benazepril 5mg, 1/4 tablet/day, Sultran (Sulfamethoxazole 100mg, Trimetoprim 20mg) 1/2 tablet 2x/day. Coffee was then referred to us as an emergency. Here he was stabilized, Methadon was started and a urinary catheter was inserted. The dog stayed hospitalized, an echocardiography and an abdominal ultrasound were made, then the dog went into surgery on the 19.06. With the echocardiography a mitral valve endocardiosis stage B2 was diagnosed. Ultrasound report (18.09): Bilateral chronic nephoropathy with nephrolithiasis, pylectasia and mild hydroureter/ureteritis; Urolithiasis and associated cystitis; Prostatopathy with regional steatitis; Mild medial iliac lymphadenopathy.
Medication: 19.06: Methadon 0.1 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID, Vetmedin 1.25 PO BID or 0.25 mg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID (nothing given before filming observation 1). 20.06: Ondansetron & Pimobendan & Ampicillin Sulbactam same as 19.06, Buprenorphine 0.01 (?) mg/kg IV TID.
Anesthesia: Intervention on 19.06.2024: cystotomy, castration. Premedication at 08:30: Methadon 0.2 mg/kg IV. Induction: Midazolam 0.2 mg/kg IV, Propofol 5.5 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia epidural Ropivacain 0.35 ml & Morphin 0.04 ml. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia -> Glycopyrrolate 0.01 mg/kg IV. Intervention duration: 90 min. Anaesthesia duration: 210 min.
Pain type: subacute, inflammatory, visceral, somatic
Pain origin: Urinary bladder, ureters, urethra
Estimated pain severity: 15
Species: dog
Breed: Crossbreed
Sex: m, not neutered (neutered during surgery)
Weight: 3.6 kg
Birth date: 2017-04-27 00:00:00
Primary diagnosis: Uroliths bladder & urethra & kidney, prostatopathy, mitral valve endocardiosis
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Moderate sedation (2)
Medical history: Coffee was referred to us on 17.06. because of an acute urethral obstruction. Approximately 2 months previously, he had suffered an episode of cystitis and was already having difficulty passing urine. A check-up at the private vet on 17.06. and X-rays of the abdomen revealed multiple urinary stones in the bladder and urethra, as well as mineral deposits in the kidneys. A heart murmur was also identified and Coffee was taking the following medications: Benazepril 5mg, 1/4 tablet/day, Sultran (Sulfamethoxazole 100mg, Trimetoprim 20mg) 1/2 tablet 2x/day. Coffee was then referred to us as an emergency. Here he was stabilized, Methadon was started and a urinary catheter was inserted. The dog stayed hospitalized, an echocardiography and an abdominal ultrasound were made, then the dog went into surgery on the 19.06. With the echocardiography a mitral valve endocardiosis stage B2 was diagnosed. Ultrasound report (18.09): Bilateral chronic nephoropathy with nephrolithiasis, pylectasia and mild hydroureter/ureteritis; Urolithiasis and associated cystitis; Prostatopathy with regional steatitis; Mild medial iliac lymphadenopathy.
Medication: 19.06: Methadon 0.1 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID, Vetmedin 1.25 PO BID or 0.25 mg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID (nothing given before filming observation 1). 20.06: Ondansetron & Pimobendan & Ampicillin Sulbactam same as 19.06, Buprenorphine 0.01 (?) mg/kg IV TID.
Anesthesia: Intervention on 19.06.2024: cystotomy, castration. Premedication at 08:30: Methadon 0.2 mg/kg IV. Induction: Midazolam 0.2 mg/kg IV, Propofol 5.5 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia epidural Ropivacain 0.35 ml & Morphin 0.04 ml. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia -> Glycopyrrolate 0.01 mg/kg IV. Intervention duration: 90 min. Anaesthesia duration: 210 min.
Pain type: acute, subacute, inflammatory, visceral, somatic
Pain origin: Urinary bladder, ureters, urethra
Estimated pain severity: 15
Species: dog
Breed: Crossbreed
Sex: m, not neutered (neutered during surgery)
Weight: 3.6 kg
Birth date: 2017-04-28 00:00:00
Primary diagnosis: Uroliths bladder & urethra & kidney, prostatopathy, mitral valve endocardiosis
Situation: post surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Coffee was referred to us on 17.06. because of an acute urethral obstruction. Approximately 2 months previously, he had suffered an episode of cystitis and was already having difficulty passing urine. A check-up at the private vet on 17.06. and X-rays of the abdomen revealed multiple urinary stones in the bladder and urethra, as well as mineral deposits in the kidneys. A heart murmur was also identified and Coffee was taking the following medications: Benazepril 5mg, 1/4 tablet/day, Sultran (Sulfamethoxazole 100mg, Trimetoprim 20mg) 1/2 tablet 2x/day. Coffee was then referred to us as an emergency. Here he was stabilized, Methadon was started and a urinary catheter was inserted. The dog stayed hospitalized, an echocardiography and an abdominal ultrasound were made, then the dog went into surgery on the 19.06. With the echocardiography a mitral valve endocardiosis stage B2 was diagnosed. Ultrasound report (18.09): Bilateral chronic nephoropathy with nephrolithiasis, pylectasia and mild hydroureter/ureteritis; Urolithiasis and associated cystitis; Prostatopathy with regional steatitis; Mild medial iliac lymphadenopathy.
Medication: 19.06: Methadon 0.1 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID, Vetmedin 1.25 PO BID or 0.25 mg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID (nothing given before filming observation 1). 20.06: Ondansetron & Pimobendan & Ampicillin Sulbactam same as 19.06, Buprenorphine 0.01 (?) mg/kg IV TID.
Anesthesia: Intervention on 19.06.2024: cystotomy, castration. Premedication at 08:30: Methadon 0.2 mg/kg IV. Induction: Midazolam 0.2 mg/kg IV, Propofol 5.5 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia epidural Ropivacain 0.35 ml & Morphin 0.04 ml. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia -> Glycopyrrolate 0.01 mg/kg IV. Intervention duration: 90 min. Anaesthesia duration: 210 min.
Pain type: acute, subacute, inflammatory, visceral, somatic
Pain origin: Urinary bladder, ureters, urethra
Estimated pain severity: 25
Species: dog
Breed: Crossbreed
Sex: m, not neutered (neutered during surgery)
Weight: 3.6 kg
Birth date: 2017-04-29 00:00:00
Primary diagnosis: Uroliths bladder & urethra & kidney, prostatopathy, mitral valve endocardiosis
Situation: post surgery
Time since surgery: 4-6 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Coffee was referred to us on 17.06. because of an acute urethral obstruction. Approximately 2 months previously, he had suffered an episode of cystitis and was already having difficulty passing urine. A check-up at the private vet on 17.06. and X-rays of the abdomen revealed multiple urinary stones in the bladder and urethra, as well as mineral deposits in the kidneys. A heart murmur was also identified and Coffee was taking the following medications: Benazepril 5mg, 1/4 tablet/day, Sultran (Sulfamethoxazole 100mg, Trimetoprim 20mg) 1/2 tablet 2x/day. Coffee was then referred to us as an emergency. Here he was stabilized, Methadon was started and a urinary catheter was inserted. The dog stayed hospitalized, an echocardiography and an abdominal ultrasound were made, then the dog went into surgery on the 19.06. With the echocardiography a mitral valve endocardiosis stage B2 was diagnosed. Ultrasound report (18.09): Bilateral chronic nephoropathy with nephrolithiasis, pylectasia and mild hydroureter/ureteritis; Urolithiasis and associated cystitis; Prostatopathy with regional steatitis; Mild medial iliac lymphadenopathy.
Medication: 19.06: Methadon 0.1 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID, Vetmedin 1.25 PO BID or 0.25 mg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID (nothing given before filming observation 1). 20.06: Ondansetron & Pimobendan & Ampicillin Sulbactam same as 19.06, Buprenorphine 0.01 (?) mg/kg IV TID.
Anesthesia: Intervention on 19.06.2024: cystotomy, castration. Premedication at 08:30: Methadon 0.2 mg/kg IV. Induction: Midazolam 0.2 mg/kg IV, Propofol 5.5 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia epidural Ropivacain 0.35 ml & Morphin 0.04 ml. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia -> Glycopyrrolate 0.01 mg/kg IV. Intervention duration: 90 min. Anaesthesia duration: 210 min.
Pain type: acute, subacute, inflammatory, visceral, somatic
Pain origin: Urinary bladder, ureters, urethra
Estimated pain severity: 10
Species: dog
Breed: Crossbreed
Sex: m, not neutered (neutered during surgery)
Weight: 3.6 kg
Birth date: 2017-04-30 00:00:00
Primary diagnosis: Uroliths bladder & urethra & kidney, prostatopathy, mitral valve endocardiosis
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Coffee was referred to us on 17.06. because of an acute urethral obstruction. Approximately 2 months previously, he had suffered an episode of cystitis and was already having difficulty passing urine. A check-up at the private vet on 17.06. and X-rays of the abdomen revealed multiple urinary stones in the bladder and urethra, as well as mineral deposits in the kidneys. A heart murmur was also identified and Coffee was taking the following medications: Benazepril 5mg, 1/4 tablet/day, Sultran (Sulfamethoxazole 100mg, Trimetoprim 20mg) 1/2 tablet 2x/day. Coffee was then referred to us as an emergency. Here he was stabilized, Methadon was started and a urinary catheter was inserted. The dog stayed hospitalized, an echocardiography and an abdominal ultrasound were made, then the dog went into surgery on the 19.06. With the echocardiography a mitral valve endocardiosis stage B2 was diagnosed. Ultrasound report (18.09): Bilateral chronic nephoropathy with nephrolithiasis, pylectasia and mild hydroureter/ureteritis; Urolithiasis and associated cystitis; Prostatopathy with regional steatitis; Mild medial iliac lymphadenopathy.
Medication: 19.06: Methadon 0.1 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID, Vetmedin 1.25 PO BID or 0.25 mg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID (nothing given before filming observation 1). 20.06: Ondansetron & Pimobendan & Ampicillin Sulbactam same as 19.06, Buprenorphine 0.01 (?) mg/kg IV TID.
Anesthesia: Intervention on 19.06.2024: cystotomy, castration. Premedication at 08:30: Methadon 0.2 mg/kg IV. Induction: Midazolam 0.2 mg/kg IV, Propofol 5.5 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia epidural Ropivacain 0.35 ml & Morphin 0.04 ml. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia -> Glycopyrrolate 0.01 mg/kg IV. Intervention duration: 90 min. Anaesthesia duration: 210 min.
Pain type: acute, subacute, inflammatory, visceral, somatic
Pain origin: Urinary bladder, ureters, urethra
Species: dog
Breed: English Bulldog
Sex: f, neutered
Weight: 21.8 kg
Birth date: 2013-04-06 00:00:00
Primary diagnosis: Brachycephalic obstructive airway syndrome
Situation: pre surgery
Medical history: The dog came today for BOAS (brachycephalic obstructive airway syndrome) surgery -> removal of the left saculli, folding-flap palatoplasty according to Dupré and a rhinoplasty were performed. The dog has known chronic respiratory problems, including pneumonia and BOAS symptoms, and she has a chronic conjunctivitis.
Medication: No medication directly before observation 1. Medication the day before: Methadon 0.1 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID, Vetmedin 1.25 BID PO or 0.25 mg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID. After surgery before observation 2: Meloxicam 0.2 mg/kg IV, Buprenorphine 0.015 mg/kg IV.
Anesthesia: Intervention on 19.06.2024: BOAS correction (soft palate, nose, ventriculi). Premedication at 10:10: Methadon 0.2 mg/kg IV, Omeprazol 1 mg/kg IV. Induction: Ketamin 2 mg/kg IV, Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia bilateral infraorbital block Lidocain 2 mg/kg & Bupivacain 1 mg/kg. Complications: hypotension -> Ephedrin Bolus 0.1 mg/kg IV, Dopamin CRI 0.005 mg/kg/min IV. Wake up phase: postoperative sedation Acepromazine 0.005 mg/kg IV, Bolus Buprenorphine 0.015 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 135 min.
Pain type: no pain
Species: dog
Breed: English Bulldog
Sex: f, neutered
Weight: 21.8 kg
Birth date: 2013-04-07 00:00:00
Primary diagnosis: Brachycephalic obstructive airway syndrome
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog came today for BOAS (brachycephalic obstructive airway syndrome) surgery -> removal of the left saculli, folding-flap palatoplasty according to Dupré and a rhinoplasty were performed. The dog has known chronic respiratory problems, including pneumonia and BOAS symptoms, and she has a chronic conjunctivitis.
Medication: No medication directly before observation 1. Medication the day before: Methadon 0.1 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID, Vetmedin 1.25 BID PO or 0.25 mg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID. After surgery before observation 2: Meloxicam 0.2 mg/kg IV, Buprenorphine 0.015 mg/kg IV.
Anesthesia: Intervention on 19.06.2024: BOAS correction (soft palate, nose, ventriculi). Premedication at 10:10: Methadon 0.2 mg/kg IV, Omeprazol 1 mg/kg IV. Induction: Ketamin 2 mg/kg IV, Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia bilateral infraorbital block Lidocain 2 mg/kg & Bupivacain 1 mg/kg. Complications: hypotension -> Ephedrin Bolus 0.1 mg/kg IV, Dopamin CRI 0.005 mg/kg/min IV. Wake up phase: postoperative sedation Acepromazine 0.005 mg/kg IV, Bolus Buprenorphine 0.015 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 135 min.
Pain type: acute, nociceptive, somatic
Pain origin: Nose, soft palate, larynx
Estimated pain severity: 15
Species: dog
Breed: English Bulldog
Sex: f, neutered
Weight: 21.8 kg
Birth date: 2013-04-08 00:00:00
Primary diagnosis: Brachycephalic obstructive airway syndrome
Situation: post surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog came today for BOAS (brachycephalic obstructive airway syndrome) surgery -> removal of the left saculli, folding-flap palatoplasty according to Dupré and a rhinoplasty were performed. The dog has known chronic respiratory problems, including pneumonia and BOAS symptoms, and she has a chronic conjunctivitis.
Medication: No medication directly before observation 1. Medication the day before: Methadon 0.1 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID, Vetmedin 1.25 BID PO or 0.25 mg IV BID, Ampicillin Sulbactam 30 mg/kg IV TID. After surgery before observation 2: Meloxicam 0.2 mg/kg IV, Buprenorphine 0.015 mg/kg IV.
Anesthesia: Intervention on 19.06.2024: BOAS correction (soft palate, nose, ventriculi). Premedication at 10:10: Methadon 0.2 mg/kg IV, Omeprazol 1 mg/kg IV. Induction: Ketamin 2 mg/kg IV, Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia bilateral infraorbital block Lidocain 2 mg/kg & Bupivacain 1 mg/kg. Complications: hypotension -> Ephedrin Bolus 0.1 mg/kg IV, Dopamin CRI 0.005 mg/kg/min IV. Wake up phase: postoperative sedation Acepromazine 0.005 mg/kg IV, Bolus Buprenorphine 0.015 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 135 min.
Pain type: acute, inflammatory, somatic
Pain origin: Nose, soft palate, larynx
Estimated pain severity: 35
Species: dog
Breed: French Bulldog
Sex: m, not neutered
Weight: 11.5 kg
Birth date: 2015-10-01 00:00:00
Primary diagnosis: Bilateral otitis media and interna with left-sided meningitis, right-sided facial nerve dysfunction with keratoconjunctivitis sicca, MUO, subarachnoid diverticulum T12-13
Situation: pre surgery
Medical history: Lucky was presented to us on 19.06.2024 for surgical treatment of chronic otitis media on the left side -> a complete removal of the external auditory meatus and osteotomy of the tympanic bulla were performed. He had previously been seen by the dermatology and neurology departments for bilateral chronic otitis media/internasal (G>D) as well as necrotising leukoencephalopathy, neurogenic keratoconjunctivitis sicca due to right-sided facial nerve dysfunction and a T12-13 subarachnoid diverticulum causing paraparesis.
Medication: Not 100% clear what medication the dog was getting before surgery, probably Prednisolon 0.2 mg/kg PO SID, Phenobarbital 3.4 mg/kg PO in the morning & 4.5 mg/kg PO in the evening, Marbofloxacin 3.5 mg/kg PO SID, Omeprazol 0.9 mg/kg PO BID, Cisapride 0.4 mg/kg TID, Gabapentin PO the morning of surgery (dosage? 30 mg/kg?), Optimmune eye ointment?, Acetylcystein?.
Anesthesia: Intervention on 19.06.2024: TECA-LBO. Premedication at 12:40: Medetomidin 0.01 mg/kg IV, Methadon 0.02 mg/kg IV. Induction: Propofol IV, Ketamin 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: IV Infusion Ketamin CRI, local anaesthesia auriculotemporal - great auricular block Bupivacain 2 ml. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Wake up phase: postoperative sedation Acepromazine 0.01 mg/kg IM. Intervention duration: 120 min. Anaesthesia duration: 320 min.
Neurologic exam: Last complete neurological examination found: 02.05.2024. Mentation: unremarkable. Behaviour: stressed, alert. Posture: head tilted to the left, hindlimbs limp when sitting and away from the body. Gait: severe tetraataxia with vestibular character especially on the forelimbs. Postural reactions: absent on both hind limbs, forelimbs unremarkable. Cranial nerves: signs of dysfunction of the vestibulocochlear nerve with head tilt and vestibular ataxia, reduced palpebral reflex on the right side, flaccid right side of the face (signs of partial dysfunction of the facial nerve). Spinal reflexes: Flexor reflex absent on both hind limbs, all others unremarkable. Sensitivity: unremarkable. Neuroanatomical localisation: Inner ear bilateral (left>right), T12-T13.
Pain type: chronic, inflammatory
Pain origin: ears
Pain duration: more than 7 days
Estimated pain severity: 40
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 40.1 kg
Birth date: 2015-11-12 00:00:00
Primary diagnosis: Hepatic mass, peritoneal effusion
Situation: pre surgery
Medical history: The dog has been presented to the clinic on the 17.06.2024. The owner had the feeling, that since 2 weeks the dog's abdomen started being more distended and harder. Last friday (14.06.2024) the owner had the feeling that Bailey had fluid in the abdomen. The dog has been getting CBD drops every night for some time. On the 17th they went to the privat vet: significant ascites on abdominal ultrasound, transudate (SG 1005) was punctured, blood tests were unremarkable, cardiac auscultation was difficult (dog panted a lot and breathed heavily). The dog was then referred to the clinic. An abdominocentesis was performed (fluid: 1.2 L, transudate, SG 1010). On the 19th an echocardiogram was performed, it showed a structural and functional normal heart. On the same day also an abdoinal ultrasound was performed -> report: Large left sided hepatic mass with severe cranial abdominal mass effect; Splenic nodules; Marked ascites. 2.8 L fluid were removed once again with abdominocentesis. On 19.06 a CT was taken -> report: Large left divisional hepatic mass (affecting left lateral and medial lobes); Additional quadrate lobe change -> presumed incipient central divisional involvement; Extensive peritoneal effusion; Mild nodule splenopathy; Minimal portal lymph node enlargement; Subtle sternal lymphadenopathy; Two small superficial (cutaneous/subcutaneous) soft tissue nodules; Mild ventral alveolar lung pattern; Incidental pulmonary osteoma; Marked left cubarthrosis. Today 20.06 the dog went to surgery to removed the splenic mass.
Medication: 21.06 before surgery: Spironolactone 1 mg/kg PO, Ondansetron 0.3 mg/kg IV. After surgery: Ondansetron 0.3 mg/kg IV TID, (Metoclopramid 0.3mg/kg IV if needed -> not given), Fortiflora, Methadon 0.2 mg/kg IV q4h, Kefzol 22 mg/kg TID, Novalgin 30 mg/kg IV TID. 24.06: Ondansetron 0.3 mg/kg PO TID, Buprenorphine 0.02 mg/kg IV TID, Kefzol & Novalgin same as 21.06.
Anesthesia: Intervention on 21.06.2024: partial lobectomy of left hepatic lobe. Premedication: Methadon 0.2 mg/kg IV. Induction: 1.8 mg/kg Propofol IV, Ketamin 2 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Remifentanyl CRI 0.004 mg/kg/h IV, Lidocain CRI 1.8 mg/kg/h IV, Dexmedetomidin CRI 0.0005 mg/kg/h IV, local anaesthesia epidural Ropivacain 3 mg/kg & Morphin, local anaesthesia quadratus lumborum block (not written in the anaesthesia report but I know it was done). Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: hypotension -> Ephedrin Bolus 0.05 mg/kg IV, Ephedrin Bolus 0.1 mg/kg IV. Intervention duration: 75 min. Anaesthesia duration: 200 min.
Pain type: chronic, inflammatory, visceral, somatic
Pain origin: abdomen
Estimated pain severity: 55
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 40.1 kg
Birth date: 2015-11-13 00:00:00
Primary diagnosis: Hepatic mass, peritoneal effusion
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog has been presented to the clinic on the 17.06.2024. The owner had the feeling, that since 2 weeks the dog's abdomen started being more distended and harder. Last friday (14.06.2024) the owner had the feeling that Bailey had fluid in the abdomen. The dog has been getting CBD drops every night for some time. On the 17th they went to the privat vet: significant ascites on abdominal ultrasound, transudate (SG 1005) was punctured, blood tests were unremarkable, cardiac auscultation was difficult (dog panted a lot and breathed heavily). The dog was then referred to the clinic. An abdominocentesis was performed (fluid: 1.2 L, transudate, SG 1010). On the 19th an echocardiogram was performed, it showed a structural and functional normal heart. On the same day also an abdoinal ultrasound was performed -> report: Large left sided hepatic mass with severe cranial abdominal mass effect; Splenic nodules; Marked ascites. 2.8 L fluid were removed once again with abdominocentesis. On 19.06 a CT was taken -> report: Large left divisional hepatic mass (affecting left lateral and medial lobes); Additional quadrate lobe change -> presumed incipient central divisional involvement; Extensive peritoneal effusion; Mild nodule splenopathy; Minimal portal lymph node enlargement; Subtle sternal lymphadenopathy; Two small superficial (cutaneous/subcutaneous) soft tissue nodules; Mild ventral alveolar lung pattern; Incidental pulmonary osteoma; Marked left cubarthrosis. Today 20.06 the dog went to surgery to removed the splenic mass.
Medication: 21.06 before surgery: Spironolactone 1 mg/kg PO, Ondansetron 0.3 mg/kg IV. After surgery: Ondansetron 0.3 mg/kg IV TID, (Metoclopramid 0.3mg/kg IV if needed -> not given), Fortiflora, Methadon 0.2 mg/kg IV q4h, Kefzol 22 mg/kg TID, Novalgin 30 mg/kg IV TID. 24.06: Ondansetron 0.3 mg/kg PO TID, Buprenorphine 0.02 mg/kg IV TID, Kefzol & Novalgin same as 21.06.
Anesthesia: Intervention on 21.06.2024: partial lobectomy of left hepatic lobe. Premedication: Methadon 0.2 mg/kg IV. Induction: 1.8 mg/kg Propofol IV, Ketamin 2 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Remifentanyl CRI 0.004 mg/kg/h IV, Lidocain CRI 1.8 mg/kg/h IV, Dexmedetomidin CRI 0.0005 mg/kg/h IV, local anaesthesia epidural Ropivacain 3 mg/kg & Morphin, local anaesthesia quadratus lumborum block (not written in the anaesthesia report but I know it was done). Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: hypotension -> Ephedrin Bolus 0.05 mg/kg IV, Ephedrin Bolus 0.1 mg/kg IV. Intervention duration: 75 min. Anaesthesia duration: 200 min.
Pain type: Acute, chronic, inflammatory, visceral, somatic
Pain origin: abdomen, liver
Estimated pain severity: 10
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 40.1 kg
Birth date: 2015-11-14 00:00:00
Primary diagnosis: Hepatic mass, peritoneal effusion
Situation: post surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog has been presented to the clinic on the 17.06.2024. The owner had the feeling, that since 2 weeks the dog's abdomen started being more distended and harder. Last friday (14.06.2024) the owner had the feeling that Bailey had fluid in the abdomen. The dog has been getting CBD drops every night for some time. On the 17th they went to the privat vet: significant ascites on abdominal ultrasound, transudate (SG 1005) was punctured, blood tests were unremarkable, cardiac auscultation was difficult (dog panted a lot and breathed heavily). The dog was then referred to the clinic. An abdominocentesis was performed (fluid: 1.2 L, transudate, SG 1010). On the 19th an echocardiogram was performed, it showed a structural and functional normal heart. On the same day also an abdoinal ultrasound was performed -> report: Large left sided hepatic mass with severe cranial abdominal mass effect; Splenic nodules; Marked ascites. 2.8 L fluid were removed once again with abdominocentesis. On 19.06 a CT was taken -> report: Large left divisional hepatic mass (affecting left lateral and medial lobes); Additional quadrate lobe change -> presumed incipient central divisional involvement; Extensive peritoneal effusion; Mild nodule splenopathy; Minimal portal lymph node enlargement; Subtle sternal lymphadenopathy; Two small superficial (cutaneous/subcutaneous) soft tissue nodules; Mild ventral alveolar lung pattern; Incidental pulmonary osteoma; Marked left cubarthrosis. Today 20.06 the dog went to surgery to removed the splenic mass.
Medication: 21.06 before surgery: Spironolactone 1 mg/kg PO, Ondansetron 0.3 mg/kg IV. After surgery: Ondansetron 0.3 mg/kg IV TID, (Metoclopramid 0.3mg/kg IV if needed -> not given), Fortiflora, Methadon 0.2 mg/kg IV q4h, Kefzol 22 mg/kg TID, Novalgin 30 mg/kg IV TID. 24.06: Ondansetron 0.3 mg/kg PO TID, Buprenorphine 0.02 mg/kg IV TID, Kefzol & Novalgin same as 21.06.
Anesthesia: Intervention on 21.06.2024: partial lobectomy of left hepatic lobe. Premedication: Methadon 0.2 mg/kg IV. Induction: 1.8 mg/kg Propofol IV, Ketamin 2 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Remifentanyl CRI 0.004 mg/kg/h IV, Lidocain CRI 1.8 mg/kg/h IV, Dexmedetomidin CRI 0.0005 mg/kg/h IV, local anaesthesia epidural Ropivacain 3 mg/kg & Morphin, local anaesthesia quadratus lumborum block (not written in the anaesthesia report but I know it was done). Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: hypotension -> Ephedrin Bolus 0.05 mg/kg IV, Ephedrin Bolus 0.1 mg/kg IV. Intervention duration: 75 min. Anaesthesia duration: 200 min.
Pain type: Acute, chronic, inflammatory, visceral, somatic
Pain origin: abdomen, liver
Estimated pain severity: 15
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 40.1 kg
Birth date: 2015-11-15 00:00:00
Primary diagnosis: Hepatic mass, peritoneal effusion
Situation: post surgery
Time since surgery: 4-6 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog has been presented to the clinic on the 17.06.2024. The owner had the feeling, that since 2 weeks the dog's abdomen started being more distended and harder. Last friday (14.06.2024) the owner had the feeling that Bailey had fluid in the abdomen. The dog has been getting CBD drops every night for some time. On the 17th they went to the privat vet: significant ascites on abdominal ultrasound, transudate (SG 1005) was punctured, blood tests were unremarkable, cardiac auscultation was difficult (dog panted a lot and breathed heavily). The dog was then referred to the clinic. An abdominocentesis was performed (fluid: 1.2 L, transudate, SG 1010). On the 19th an echocardiogram was performed, it showed a structural and functional normal heart. On the same day also an abdoinal ultrasound was performed -> report: Large left sided hepatic mass with severe cranial abdominal mass effect; Splenic nodules; Marked ascites. 2.8 L fluid were removed once again with abdominocentesis. On 19.06 a CT was taken -> report: Large left divisional hepatic mass (affecting left lateral and medial lobes); Additional quadrate lobe change -> presumed incipient central divisional involvement; Extensive peritoneal effusion; Mild nodule splenopathy; Minimal portal lymph node enlargement; Subtle sternal lymphadenopathy; Two small superficial (cutaneous/subcutaneous) soft tissue nodules; Mild ventral alveolar lung pattern; Incidental pulmonary osteoma; Marked left cubarthrosis. Today 20.06 the dog went to surgery to removed the splenic mass.
Medication: 21.06 before surgery: Spironolactone 1 mg/kg PO, Ondansetron 0.3 mg/kg IV. After surgery: Ondansetron 0.3 mg/kg IV TID, (Metoclopramid 0.3mg/kg IV if needed -> not given), Fortiflora, Methadon 0.2 mg/kg IV q4h, Kefzol 22 mg/kg TID, Novalgin 30 mg/kg IV TID. 24.06: Ondansetron 0.3 mg/kg PO TID, Buprenorphine 0.02 mg/kg IV TID, Kefzol & Novalgin same as 21.06.
Anesthesia: Intervention on 21.06.2024: partial lobectomy of left hepatic lobe. Premedication: Methadon 0.2 mg/kg IV. Induction: 1.8 mg/kg Propofol IV, Ketamin 2 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Remifentanyl CRI 0.004 mg/kg/h IV, Lidocain CRI 1.8 mg/kg/h IV, Dexmedetomidin CRI 0.0005 mg/kg/h IV, local anaesthesia epidural Ropivacain 3 mg/kg & Morphin, local anaesthesia quadratus lumborum block (not written in the anaesthesia report but I know it was done). Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: hypotension -> Ephedrin Bolus 0.05 mg/kg IV, Ephedrin Bolus 0.1 mg/kg IV. Intervention duration: 75 min. Anaesthesia duration: 200 min.
Pain type: Acute, chronic, inflammatory, visceral, somatic
Pain origin: abdomen, liver
Estimated pain severity: 20
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 40.1 kg
Birth date: 2015-11-16 00:00:00
Primary diagnosis: Hepatic mass, peritoneal effusion
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog has been presented to the clinic on the 17.06.2024. The owner had the feeling, that since 2 weeks the dog's abdomen started being more distended and harder. Last friday (14.06.2024) the owner had the feeling that Bailey had fluid in the abdomen. The dog has been getting CBD drops every night for some time. On the 17th they went to the privat vet: significant ascites on abdominal ultrasound, transudate (SG 1005) was punctured, blood tests were unremarkable, cardiac auscultation was difficult (dog panted a lot and breathed heavily). The dog was then referred to the clinic. An abdominocentesis was performed (fluid: 1.2 L, transudate, SG 1010). On the 19th an echocardiogram was performed, it showed a structural and functional normal heart. On the same day also an abdoinal ultrasound was performed -> report: Large left sided hepatic mass with severe cranial abdominal mass effect; Splenic nodules; Marked ascites. 2.8 L fluid were removed once again with abdominocentesis. On 19.06 a CT was taken -> report: Large left divisional hepatic mass (affecting left lateral and medial lobes); Additional quadrate lobe change -> presumed incipient central divisional involvement; Extensive peritoneal effusion; Mild nodule splenopathy; Minimal portal lymph node enlargement; Subtle sternal lymphadenopathy; Two small superficial (cutaneous/subcutaneous) soft tissue nodules; Mild ventral alveolar lung pattern; Incidental pulmonary osteoma; Marked left cubarthrosis. Today 20.06 the dog went to surgery to removed the splenic mass.
Medication: 21.06 before surgery: Spironolactone 1 mg/kg PO, Ondansetron 0.3 mg/kg IV. After surgery: Ondansetron 0.3 mg/kg IV TID, (Metoclopramid 0.3mg/kg IV if needed -> not given), Fortiflora, Methadon 0.2 mg/kg IV q4h, Kefzol 22 mg/kg TID, Novalgin 30 mg/kg IV TID. 24.06: Ondansetron 0.3 mg/kg PO TID, Buprenorphine 0.02 mg/kg IV TID, Kefzol & Novalgin same as 21.06.
Anesthesia: Intervention on 21.06.2024: partial lobectomy of left hepatic lobe. Premedication: Methadon 0.2 mg/kg IV. Induction: 1.8 mg/kg Propofol IV, Ketamin 2 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Remifentanyl CRI 0.004 mg/kg/h IV, Lidocain CRI 1.8 mg/kg/h IV, Dexmedetomidin CRI 0.0005 mg/kg/h IV, local anaesthesia epidural Ropivacain 3 mg/kg & Morphin, local anaesthesia quadratus lumborum block (not written in the anaesthesia report but I know it was done). Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: hypotension -> Ephedrin Bolus 0.05 mg/kg IV, Ephedrin Bolus 0.1 mg/kg IV. Intervention duration: 75 min. Anaesthesia duration: 200 min.
Pain type: Acute, inflammatory, visceral, somatic
Pain origin: abdomen, liver
Estimated pain severity: 35
Species: dog
Breed: Miniature Schnauzer
Sex: f, neutered
Weight: 5.87 kg
Birth date: 2016-06-29 00:00:00
Primary diagnosis: Discopathy C6/7 with myelopathy C3 to T1 (ANNPE or IIVDE)
Situation: hospitalized
Medical history: Two days ago (22.06) during a walk in the afternoon the dog got pulled by the other dog on the same flexi leash. She started going lame on one forelimb, which progressively worsened with involvement of the hindlimbs. Coca was soon no longer able to stand or walk and was in rather poor general health and inappetent. She was then presented to the private vet, where she was lying down in lateral recumbency and she was given dexadresone 1 mg/kg, gabapentin 100 mg (= 16mg/kg) and vitamins B1, B2 and B12. X-rays of the neck, thorax and abdomen showed no obvious cause for the acute symptoms. She was further referred to the veterinary clinic in Thun, where she showed motor function on all 4 limbs, but proprioception only on the right forelimb. After the onset of symptoms, spontaneous urination was no longer observed. She was referred to our clinic on the night between 22-23.06 for further clarification and inpatient monitoring. At arrival the dog stayed especialli in left lateral recumbency, she was not able to stand or walk. She urinated during examination. Therapy with Methadon, Paracetamol, Gabapentin and Metoclopramid was started. Today (24.06) an MRI was taken. MRI report: Discopathy C6/7 with myelopathy C3 to T1; Subcutaneous change on the right side of the neck -> The findings are consistent with acute non-compressive disc extrusion (ANNPE) with secondary contusion and haemorhragia in the spinal cord C6 or intradural intramedullary disc extrusion (IIVDE).
Medication: 24.06: Methadon 0.2 mg/kg IV q4h, Paracetamol 15 mg/kg IV TID, Gabapentin 5 mg/kg PO TID, Metoclopramid 0.3 mg/kg IV TID.
Neurologic exam: Mentation: slightly apathetic. Posture: lateral recumbency, unable to stand or walk. Gait: tetraparesis, unable to walk or stand, plegia front and back left, paresis front and back right. Postural reactions: absent on all 4 limbs. Cranial nerves: normal. Spinal reflexes: Flexor reflex reduced anteriorly on both sides, otherwise unremarkable. Sensitivity: Dolence on palpation of the cervical spine. Neuroanatomical localisation: C6-T2.
Pain type: acute, nociceptive, somatic
Pain origin: neck
Pain duration: 24 hours to 7 days
Estimated pain severity: 30
Species: dog
Breed: Miniature Schnauzer
Sex: f, neutered
Weight: 5.87 kg
Birth date: 2016-06-30 00:00:00
Primary diagnosis: Discopathy C6/7 with myelopathy C3 to T1 (ANNPE or IIVDE)
Situation: hospitalized
Medical history: Two days ago (22.06) during a walk in the afternoon the dog got pulled by the other dog on the same flexi leash. She started going lame on one forelimb, which progressively worsened with involvement of the hindlimbs. Coca was soon no longer able to stand or walk and was in rather poor general health and inappetent. She was then presented to the private vet, where she was lying down in lateral recumbency and she was given dexadresone 1 mg/kg, gabapentin 100 mg (= 16mg/kg) and vitamins B1, B2 and B12. X-rays of the neck, thorax and abdomen showed no obvious cause for the acute symptoms. She was further referred to the veterinary clinic in Thun, where she showed motor function on all 4 limbs, but proprioception only on the right forelimb. After the onset of symptoms, spontaneous urination was no longer observed. She was referred to our clinic on the night between 22-23.06 for further clarification and inpatient monitoring. At arrival the dog stayed especialli in left lateral recumbency, she was not able to stand or walk. She urinated during examination. Therapy with Methadon, Paracetamol, Gabapentin and Metoclopramid was started. Today (24.06) an MRI was taken. MRI report: Discopathy C6/7 with myelopathy C3 to T1; Subcutaneous change on the right side of the neck -> The findings are consistent with acute non-compressive disc extrusion (ANNPE) with secondary contusion and haemorhragia in the spinal cord C6 or intradural intramedullary disc extrusion (IIVDE).
Medication: 24.06: Methadon 0.2 mg/kg IV q4h, Paracetamol 15 mg/kg IV TID, Gabapentin 5 mg/kg PO TID, Metoclopramid 0.3 mg/kg IV TID.
Neurologic exam: Mentation: slightly apathetic. Posture: lateral recumbency, unable to stand or walk. Gait: tetraparesis, unable to walk or stand, plegia front and back left, paresis front and back right. Postural reactions: absent on all 4 limbs. Cranial nerves: normal. Spinal reflexes: Flexor reflex reduced anteriorly on both sides, otherwise unremarkable. Sensitivity: Dolence on palpation of the cervical spine. Neuroanatomical localisation: C6-T2.
Pain type: acute, nociceptive, somatic
Pain origin: neck
Pain duration: 24 hours to 7 days
Estimated pain severity: 40
Species: dog
Breed: Miniature Schnauzer
Sex: f, neutered
Weight: 5.87 kg
Birth date: 2016-07-01 00:00:00
Primary diagnosis: Discopathy C6/7 with myelopathy C3 to T1 (ANNPE or IIVDE)
Situation: hospitalized
Medical history: Two days ago (22.06) during a walk in the afternoon the dog got pulled by the other dog on the same flexi leash. She started going lame on one forelimb, which progressively worsened with involvement of the hindlimbs. Coca was soon no longer able to stand or walk and was in rather poor general health and inappetent. She was then presented to the private vet, where she was lying down in lateral recumbency and she was given dexadresone 1 mg/kg, gabapentin 100 mg (= 16mg/kg) and vitamins B1, B2 and B12. X-rays of the neck, thorax and abdomen showed no obvious cause for the acute symptoms. She was further referred to the veterinary clinic in Thun, where she showed motor function on all 4 limbs, but proprioception only on the right forelimb. After the onset of symptoms, spontaneous urination was no longer observed. She was referred to our clinic on the night between 22-23.06 for further clarification and inpatient monitoring. At arrival the dog stayed especialli in left lateral recumbency, she was not able to stand or walk. She urinated during examination. Therapy with Methadon, Paracetamol, Gabapentin and Metoclopramid was started. Today (24.06) an MRI was taken. MRI report: Discopathy C6/7 with myelopathy C3 to T1; Subcutaneous change on the right side of the neck -> The findings are consistent with acute non-compressive disc extrusion (ANNPE) with secondary contusion and haemorhragia in the spinal cord C6 or intradural intramedullary disc extrusion (IIVDE).
Medication: 24.06: Methadon 0.2 mg/kg IV q4h, Paracetamol 15 mg/kg IV TID, Gabapentin 5 mg/kg PO TID, Metoclopramid 0.3 mg/kg IV TID.
Neurologic exam: Mentation: slightly apathetic. Posture: lateral recumbency, unable to stand or walk. Gait: tetraparesis, unable to walk or stand, plegia front and back left, paresis front and back right. Postural reactions: absent on all 4 limbs. Cranial nerves: normal. Spinal reflexes: Flexor reflex reduced anteriorly on both sides, otherwise unremarkable. Sensitivity: Dolence on palpation of the cervical spine. Neuroanatomical localisation: C6-T2.
Pain type: acute, nociceptive, somatic
Pain origin: neck
Pain duration: 24 hours to 7 days
Estimated pain severity: 50
Species: dog
Breed: American Bulldog
Sex: f, not neutered
Weight: 22.6 kg
Birth date: 2023-04-10 00:00:00
Primary diagnosis: Bilateral medial coronoid disease
Situation: consultation first
Medical history: The dog has been going lame on multiple limbs since november 2023. It started with the right hindlimb. In february she was still lame on that limb, a medial luxation of the left patella was diagnosed and therapy with Meloxicam was started. X-rays of the hips were taken but they were not remarkable. In march the dog fell a few times on the backhand, and a few days after she started gong lame also on the left hindlimb. Then also a patellar luxation on the right was diagnosed. A few weeks later the lameness still didn't get better, and she also started going lame on the left forelimb. In may she then arterded going lame on the right forelimb. At the beginning of this month (june) she started not being so fit, she lays down a lot, the lameness got worse, she vomited a few times. NSAIDs were stopped. Today (24.06.2024) the dog came for consultation and CT. CT report: Bilateral medial coronoid disease -> fragmented coronoid process left, medial coronoid sclerosis right; Bilateral radioulnar incongruency; Suspected humeral kissing lesions bilateral. Plan: Arthroscopy of the left elbow joint with X-ray images of the left knee on 01.07, followed by at least 4 weeks of rest and then planning of the operation for the left patellar luxation grade 2-3, followed by 6-8 weeks of rest and then control x-rays and castration as part of the castration project.
Medication: Trazodone 5.5 mg/kg PO (ca. 30 min before filming obervation 1). No medication between consultation and surgery. After surgery: Carprofen 4 mg/kg IV (before observation 4), Buprenorphine 0.01 mg/kg IV (before observation 5).
Anesthesia: Intervention on 01.07.2024: Arthroscopy ellbow left. Premedication at 09:50: Methadon 0.2 mg/kg IM, Medetomidin 0.007 mg/kg IM, Acepromazine 0.007 mg/kg IM. Induction: Propofol 4 mg/kg IV. Maintenance: Isofluran. Analgesia: Bolus Carprofen 4 mg/kg IV, local anaesthesia Morphin 0.1 mg/kg. Complications: hypotension -> Bolus RA 10 ml/kg. Wake up phase: postoperative sedation Acepromazine 0.035 mg/kg IM, Bolus Buprenorphine 0.01 mg/kg IV. Intervention duration: 75 min. Anaesthesia duration: 145 min.
Orthopedic exam: Right hindlimb: toe joints unremarkable, tasal joint unremarkable, patellar luxation grade 1/3, knee stable, hip unremarkable. Left hindlimb: toe joints unremarkable, tarsal joint unremarkable, patellar luxation grade 2-3/3, knee slightly swollen but stable, hip unremarkable. Right forelimb: toe joints unremarkable, carpal joint unremarkable, elbow joint unremarkable, shoulder joint unremarkable. Left forelimb: toe joints unremarkable, carpal joint unremarkable, elbow joint in extension dolent and coronoid test positive, shoulder joint unremarkable.
Pain type: chronic, orthopedic, somatic
Pain duration: More than 7 days
Estimated pain severity: 65