oliveirabruno01/openfarm-dog-pain huggingface dataset:
Species: dog
Breed: Flat Coated Retriever
Sex: m, neutered
Weight: 28.8 kg
Birth date: 2018-08-30 00:00:00
Primary diagnosis: Subcutaneous histiocytic sarcoma left flank
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog was presented to our oncology departement on 09.12.2024 and then came for surgery on 11.12. On 27 November, the owners discovered a subcutaneous mass on Jacky's left flank, which is why they took Jacky to a private vet. There the mass was punctured and a diagnosis of histiocytic sarcoma was made. Jacky is doing very well clinically and shows no symptoms. He is very active and eats well. Jacky has no known pre-existing conditions and is not on any medication. On 11.12 a mass resection with wide margins and one facial plane was performed. On 12.12 the dog went home.
Medication: No medication before presentation and before surgery. Before observation 2 (see anesthsia protocol): Methadon 0.1 mg/kg IV, Carprofen 4 mg/kg IV. 11.12 after surgery: Buprenorphin 0.015 mg/kg IV TID started at 17, Trazodon 1.7 mg/kg PO at 18. 12.12 (nothing given before observation 3): Carprofen 4 mg/kg IV SID.
Anesthesia: Intervention on 11.12.2024: Histiocytic sarcoma resection left flank. Premedication at 11:28: Methadon 0.2 mg/kg IM, Medetomidin 0.008 mg/kg IM. Propofol 1.3 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Methadon 0.2 mg/kg IM, local anaesthesia epidural Lidocain 4.5 mg/kg (7 ml) & Morphin 0.3 ml. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Wake up phase: Bolus Methadon 0.1 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 180 min.
Pain type: acute, inflammatory, somatic
Pain origin: Flank (left)
Pain duration: Less than 24 hours
Estimated pain severity: 40
Species: dog
Breed: Flat Coated Retriever
Sex: m, neutered
Weight: 28.8 kg
Birth date: 2018-08-31 00:00:00
Primary diagnosis: Subcutaneous histiocytic sarcoma left flank
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog was presented to our oncology departement on 09.12.2024 and then came for surgery on 11.12. On 27 November, the owners discovered a subcutaneous mass on Jacky's left flank, which is why they took Jacky to a private vet. There the mass was punctured and a diagnosis of histiocytic sarcoma was made. Jacky is doing very well clinically and shows no symptoms. He is very active and eats well. Jacky has no known pre-existing conditions and is not on any medication. On 11.12 a mass resection with wide margins and one facial plane was performed. On 12.12 the dog went home.
Medication: No medication before presentation and before surgery. Before observation 2 (see anesthsia protocol): Methadon 0.1 mg/kg IV, Carprofen 4 mg/kg IV. 11.12 after surgery: Buprenorphin 0.015 mg/kg IV TID started at 17, Trazodon 1.7 mg/kg PO at 18. 12.12 (nothing given before observation 3): Carprofen 4 mg/kg IV SID.
Anesthesia: Intervention on 11.12.2024: Histiocytic sarcoma resection left flank. Premedication at 11:28: Methadon 0.2 mg/kg IM, Medetomidin 0.008 mg/kg IM. Propofol 1.3 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Methadon 0.2 mg/kg IM, local anaesthesia epidural Lidocain 4.5 mg/kg (7 ml) & Morphin 0.3 ml. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Wake up phase: Bolus Methadon 0.1 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 180 min.
Pain type: acute, inflammatory, somatic
Pain origin: Flank
Pain duration: Less than 24 hours
Estimated pain severity: 28
Species: dog
Breed: Pomeranian
Sex: f, not neutered
Weight: 3.27 kg
Birth date: 2018-04-26 00:00:00
Primary diagnosis: Protein losing enteropathy
Situation: emergency initial
Medical history: The dog was presented to our clinic on 11.12.2024. Mia is a 6 year old female spayed pomeranian who presented to us today (11.12.24) due to acute anorexia with chronic vomiting with intermittent diaorrhea / melena chronic hyporexia. Mia is a known patient with known PLE (protein losing enteropathy) since 2 years under therapy with prednisolone and clopidogrel. Since 1 month (09.11.24) she has hsevere vomiting and intermittent melena / diaorrhea, it is not like the other PLE attacks because it does not respond to the protocol/treatment, also because the vomiting is much more frequent and because the melena is a new symptom. She also has tremors when she sleeps since 1 week. The dog was hospitalized and on 12.12 an abdominal ultrasound was performed. Ultrasound report (12.12): Minimal peripancreatic free fluid; Diffuse enteropathy; Diffuse steatopathy; Thickened gall bladder wall and moderate amount of sludge; Bilateral mild nephropathy --> Minimal peripancreatic free fluid is indicative but not diagnostic for acute pancreatitis; Please correlate with blood results and clinical findings; Free fluid might also be secondary to known protein loosing enteropathy; Enteropathy is unchanged and compatible with PLE; Steatopathy is either reactive (steatitis) or edematous secondary to PLE; Thickened gall bladder wall DDx: Cholestasis, cholangiohepatitis, early signs of immature mucocele; Nephropathy is considered chronic (DDx: chronic kidney disease, chronic interstitial nephritis). With the therapy Mia's clinical state improved quickly and on 13.12 she was released.
Medication: Before presentation: long-term medication Prednisolon drops PO BID = 1.25 mg/kg/d (for 15 days it was 1.5 mg/kg/d) & Clopidogrel 2.9 mg/kg PO SID; since 09.12 Cobalaplex (Cobalamin) 1 capsule = 0.15 mg/kg PO SID, Clavaseptin 50 mg (40 mg Amoxicillin = 12.2 mg/kg & 10 mg clavulanic acid = 3 mg/kg) PO BID. Before observation 1 given by the owner (in the morning): Prednisolon & Clopidogrel & Cobalaplex & Clavaseptin as described. Before observation 2: Maropitant 1 mg/kg IV, Ondansetron 0.3 mg/kg IV, Buprenorphin 0.015 mg/kg IV. 11.12 started/continued after observation 3: Ampicillin 30 mg/kg IV TID, Buprenorphin 0.015 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Dexamethason 0.15 mg/kg IV SID (equivalent of prednisolon 1 mg/kg), Clopidogrel 2.9 mg/kg PO SID, Cobalamin 0.15 mg/kg PO SID. 12.12: Ampicillin & Buprenorphin & Maropitant & Ondansetron & Dexamethadon & Clopidogrel & Cobalamin same as 11.12, Aminoven 0.65 ml/kg/h IV infusion started at 14, Omeprazol 1 mg/kg IV BID (started at 21 and only 1x), Sucralfat 64 mg/kg PO TID (started at 21 and only 1x). 13.12: Ampicillin & Ondansetron & Dexamethason & Clopidogrel & Cobalamin same as 12.12., Maropitant 1 mg/kg SID PO.
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 46
Species: dog
Breed: Pomeranian
Sex: f, not neutered
Weight: 3.27 kg
Birth date: 2018-04-27 00:00:00
Primary diagnosis: Protein losing enteropathy
Situation: emergency follow-up
Time since surgery: 0-2 hrs
Medical history: The dog was presented to our clinic on 11.12.2024. Mia is a 6 year old female spayed pomeranian who presented to us today (11.12.24) due to acute anorexia with chronic vomiting with intermittent diaorrhea / melena chronic hyporexia. Mia is a known patient with known PLE (protein losing enteropathy) since 2 years under therapy with prednisolone and clopidogrel. Since 1 month (09.11.24) she has hsevere vomiting and intermittent melena / diaorrhea, it is not like the other PLE attacks because it does not respond to the protocol/treatment, also because the vomiting is much more frequent and because the melena is a new symptom. She also has tremors when she sleeps since 1 week. The dog was hospitalized and on 12.12 an abdominal ultrasound was performed. Ultrasound report (12.12): Minimal peripancreatic free fluid; Diffuse enteropathy; Diffuse steatopathy; Thickened gall bladder wall and moderate amount of sludge; Bilateral mild nephropathy --> Minimal peripancreatic free fluid is indicative but not diagnostic for acute pancreatitis; Please correlate with blood results and clinical findings; Free fluid might also be secondary to known protein loosing enteropathy; Enteropathy is unchanged and compatible with PLE; Steatopathy is either reactive (steatitis) or edematous secondary to PLE; Thickened gall bladder wall DDx: Cholestasis, cholangiohepatitis, early signs of immature mucocele; Nephropathy is considered chronic (DDx: chronic kidney disease, chronic interstitial nephritis). With the therapy Mia's clinical state improved quickly and on 13.12 she was released.
Medication: Before presentation: long-term medication Prednisolon drops PO BID = 1.25 mg/kg/d (for 15 days it was 1.5 mg/kg/d) & Clopidogrel 2.9 mg/kg PO SID; since 09.12 Cobalaplex (Cobalamin) 1 capsule = 0.15 mg/kg PO SID, Clavaseptin 50 mg (40 mg Amoxicillin = 12.2 mg/kg & 10 mg clavulanic acid = 3 mg/kg) PO BID. Before observation 1 given by the owner (in the morning): Prednisolon & Clopidogrel & Cobalaplex & Clavaseptin as described. Before observation 2: Maropitant 1 mg/kg IV, Ondansetron 0.3 mg/kg IV, Buprenorphin 0.015 mg/kg IV. 11.12 started/continued after observation 3: Ampicillin 30 mg/kg IV TID, Buprenorphin 0.015 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Dexamethason 0.15 mg/kg IV SID (equivalent of prednisolon 1 mg/kg), Clopidogrel 2.9 mg/kg PO SID, Cobalamin 0.15 mg/kg PO SID. 12.12: Ampicillin & Buprenorphin & Maropitant & Ondansetron & Dexamethadon & Clopidogrel & Cobalamin same as 11.12, Aminoven 0.65 ml/kg/h IV infusion started at 14, Omeprazol 1 mg/kg IV BID (started at 21 and only 1x), Sucralfat 64 mg/kg PO TID (started at 21 and only 1x). 13.12: Ampicillin & Ondansetron & Dexamethason & Clopidogrel & Cobalamin same as 12.12., Maropitant 1 mg/kg SID PO.
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 29
Species: dog
Breed: Pomeranian
Sex: f, not neutered
Weight: 3.27 kg
Birth date: 2018-04-28 00:00:00
Primary diagnosis: Protein losing enteropathy
Situation: emergency follow-up
Time since surgery: 2-4 hrs
Medical history: The dog was presented to our clinic on 11.12.2024. Mia is a 6 year old female spayed pomeranian who presented to us today (11.12.24) due to acute anorexia with chronic vomiting with intermittent diaorrhea / melena chronic hyporexia. Mia is a known patient with known PLE (protein losing enteropathy) since 2 years under therapy with prednisolone and clopidogrel. Since 1 month (09.11.24) she has hsevere vomiting and intermittent melena / diaorrhea, it is not like the other PLE attacks because it does not respond to the protocol/treatment, also because the vomiting is much more frequent and because the melena is a new symptom. She also has tremors when she sleeps since 1 week. The dog was hospitalized and on 12.12 an abdominal ultrasound was performed. Ultrasound report (12.12): Minimal peripancreatic free fluid; Diffuse enteropathy; Diffuse steatopathy; Thickened gall bladder wall and moderate amount of sludge; Bilateral mild nephropathy --> Minimal peripancreatic free fluid is indicative but not diagnostic for acute pancreatitis; Please correlate with blood results and clinical findings; Free fluid might also be secondary to known protein loosing enteropathy; Enteropathy is unchanged and compatible with PLE; Steatopathy is either reactive (steatitis) or edematous secondary to PLE; Thickened gall bladder wall DDx: Cholestasis, cholangiohepatitis, early signs of immature mucocele; Nephropathy is considered chronic (DDx: chronic kidney disease, chronic interstitial nephritis). With the therapy Mia's clinical state improved quickly and on 13.12 she was released.
Medication: Before presentation: long-term medication Prednisolon drops PO BID = 1.25 mg/kg/d (for 15 days it was 1.5 mg/kg/d) & Clopidogrel 2.9 mg/kg PO SID; since 09.12 Cobalaplex (Cobalamin) 1 capsule = 0.15 mg/kg PO SID, Clavaseptin 50 mg (40 mg Amoxicillin = 12.2 mg/kg & 10 mg clavulanic acid = 3 mg/kg) PO BID. Before observation 1 given by the owner (in the morning): Prednisolon & Clopidogrel & Cobalaplex & Clavaseptin as described. Before observation 2: Maropitant 1 mg/kg IV, Ondansetron 0.3 mg/kg IV, Buprenorphin 0.015 mg/kg IV. 11.12 started/continued after observation 3: Ampicillin 30 mg/kg IV TID, Buprenorphin 0.015 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Dexamethason 0.15 mg/kg IV SID (equivalent of prednisolon 1 mg/kg), Clopidogrel 2.9 mg/kg PO SID, Cobalamin 0.15 mg/kg PO SID. 12.12: Ampicillin & Buprenorphin & Maropitant & Ondansetron & Dexamethadon & Clopidogrel & Cobalamin same as 11.12, Aminoven 0.65 ml/kg/h IV infusion started at 14, Omeprazol 1 mg/kg IV BID (started at 21 and only 1x), Sucralfat 64 mg/kg PO TID (started at 21 and only 1x). 13.12: Ampicillin & Ondansetron & Dexamethason & Clopidogrel & Cobalamin same as 12.12., Maropitant 1 mg/kg SID PO.
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 32
Species: dog
Breed: Pomeranian
Sex: f, not neutered
Weight: 3.27 kg
Birth date: 2018-04-29 00:00:00
Primary diagnosis: Protein losing enteropathy
Situation: hospitalized
Medical history: The dog was presented to our clinic on 11.12.2024. Mia is a 6 year old female spayed pomeranian who presented to us today (11.12.24) due to acute anorexia with chronic vomiting with intermittent diaorrhea / melena chronic hyporexia. Mia is a known patient with known PLE (protein losing enteropathy) since 2 years under therapy with prednisolone and clopidogrel. Since 1 month (09.11.24) she has hsevere vomiting and intermittent melena / diaorrhea, it is not like the other PLE attacks because it does not respond to the protocol/treatment, also because the vomiting is much more frequent and because the melena is a new symptom. She also has tremors when she sleeps since 1 week. The dog was hospitalized and on 12.12 an abdominal ultrasound was performed. Ultrasound report (12.12): Minimal peripancreatic free fluid; Diffuse enteropathy; Diffuse steatopathy; Thickened gall bladder wall and moderate amount of sludge; Bilateral mild nephropathy --> Minimal peripancreatic free fluid is indicative but not diagnostic for acute pancreatitis; Please correlate with blood results and clinical findings; Free fluid might also be secondary to known protein loosing enteropathy; Enteropathy is unchanged and compatible with PLE; Steatopathy is either reactive (steatitis) or edematous secondary to PLE; Thickened gall bladder wall DDx: Cholestasis, cholangiohepatitis, early signs of immature mucocele; Nephropathy is considered chronic (DDx: chronic kidney disease, chronic interstitial nephritis). With the therapy Mia's clinical state improved quickly and on 13.12 she was released.
Medication: Before presentation: long-term medication Prednisolon drops PO BID = 1.25 mg/kg/d (for 15 days it was 1.5 mg/kg/d) & Clopidogrel 2.9 mg/kg PO SID; since 09.12 Cobalaplex (Cobalamin) 1 capsule = 0.15 mg/kg PO SID, Clavaseptin 50 mg (40 mg Amoxicillin = 12.2 mg/kg & 10 mg clavulanic acid = 3 mg/kg) PO BID. Before observation 1 given by the owner (in the morning): Prednisolon & Clopidogrel & Cobalaplex & Clavaseptin as described. Before observation 2: Maropitant 1 mg/kg IV, Ondansetron 0.3 mg/kg IV, Buprenorphin 0.015 mg/kg IV. 11.12 started/continued after observation 3: Ampicillin 30 mg/kg IV TID, Buprenorphin 0.015 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Dexamethason 0.15 mg/kg IV SID (equivalent of prednisolon 1 mg/kg), Clopidogrel 2.9 mg/kg PO SID, Cobalamin 0.15 mg/kg PO SID. 12.12: Ampicillin & Buprenorphin & Maropitant & Ondansetron & Dexamethadon & Clopidogrel & Cobalamin same as 11.12, Aminoven 0.65 ml/kg/h IV infusion started at 14, Omeprazol 1 mg/kg IV BID (started at 21 and only 1x), Sucralfat 64 mg/kg PO TID (started at 21 and only 1x). 13.12: Ampicillin & Ondansetron & Dexamethason & Clopidogrel & Cobalamin same as 12.12., Maropitant 1 mg/kg SID PO.
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 37
Species: dog
Breed: Pomeranian
Sex: f, not neutered
Weight: 3.27 kg
Birth date: 2018-04-30 00:00:00
Primary diagnosis: Protein losing enteropathy
Situation: hospitalized
Medical history: The dog was presented to our clinic on 11.12.2024. Mia is a 6 year old female spayed pomeranian who presented to us today (11.12.24) due to acute anorexia with chronic vomiting with intermittent diaorrhea / melena chronic hyporexia. Mia is a known patient with known PLE (protein losing enteropathy) since 2 years under therapy with prednisolone and clopidogrel. Since 1 month (09.11.24) she has hsevere vomiting and intermittent melena / diaorrhea, it is not like the other PLE attacks because it does not respond to the protocol/treatment, also because the vomiting is much more frequent and because the melena is a new symptom. She also has tremors when she sleeps since 1 week. The dog was hospitalized and on 12.12 an abdominal ultrasound was performed. Ultrasound report (12.12): Minimal peripancreatic free fluid; Diffuse enteropathy; Diffuse steatopathy; Thickened gall bladder wall and moderate amount of sludge; Bilateral mild nephropathy --> Minimal peripancreatic free fluid is indicative but not diagnostic for acute pancreatitis; Please correlate with blood results and clinical findings; Free fluid might also be secondary to known protein loosing enteropathy; Enteropathy is unchanged and compatible with PLE; Steatopathy is either reactive (steatitis) or edematous secondary to PLE; Thickened gall bladder wall DDx: Cholestasis, cholangiohepatitis, early signs of immature mucocele; Nephropathy is considered chronic (DDx: chronic kidney disease, chronic interstitial nephritis). With the therapy Mia's clinical state improved quickly and on 13.12 she was released.
Medication: Before presentation: long-term medication Prednisolon drops PO BID = 1.25 mg/kg/d (for 15 days it was 1.5 mg/kg/d) & Clopidogrel 2.9 mg/kg PO SID; since 09.12 Cobalaplex (Cobalamin) 1 capsule = 0.15 mg/kg PO SID, Clavaseptin 50 mg (40 mg Amoxicillin = 12.2 mg/kg & 10 mg clavulanic acid = 3 mg/kg) PO BID. Before observation 1 given by the owner (in the morning): Prednisolon & Clopidogrel & Cobalaplex & Clavaseptin as described. Before observation 2: Maropitant 1 mg/kg IV, Ondansetron 0.3 mg/kg IV, Buprenorphin 0.015 mg/kg IV. 11.12 started/continued after observation 3: Ampicillin 30 mg/kg IV TID, Buprenorphin 0.015 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Dexamethason 0.15 mg/kg IV SID (equivalent of prednisolon 1 mg/kg), Clopidogrel 2.9 mg/kg PO SID, Cobalamin 0.15 mg/kg PO SID. 12.12: Ampicillin & Buprenorphin & Maropitant & Ondansetron & Dexamethadon & Clopidogrel & Cobalamin same as 11.12, Aminoven 0.65 ml/kg/h IV infusion started at 14, Omeprazol 1 mg/kg IV BID (started at 21 and only 1x), Sucralfat 64 mg/kg PO TID (started at 21 and only 1x). 13.12: Ampicillin & Ondansetron & Dexamethason & Clopidogrel & Cobalamin same as 12.12., Maropitant 1 mg/kg SID PO.
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 42
Species: dog
Breed: Bolonka Zwetna
Sex: f, not neutered
Weight: 3.85 kg
Birth date: 2017-04-04 00:00:00
Primary diagnosis: Displaced, closed, acute, simple transverse diaphyseal fractures of MT (metatarsus) II through V
Situation: Pre-surgery
Medical history: Bree was admitted to our clinic on 12.12.24 due to a bite wound on her head caused by a fight with a dachshund.That day the dog had a fight with a female dachshund, she was on a walk (with leash) and suddenly the dachshund attacked Bree. During the examination examination a small wound under the right ear and a small wound of the right upper eyelid were found. As the dog waslked lame and there was crepitation of the left metatarsus, a fracture was suspected and x-rays were taken. X-rays report (12.11.2924): Displaced, closed, acute, simple transverse diaphyseal fractures of MT II through V with associated soft tissue swelling. On 13.12 the dog went into surgery.
Medication: 12.12: Methadon 0.2 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID. 13.12 before observation 1: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV. Before observation 2: Methadon 0.2 mg/kg IV, Meloxicam 0.1 mg/kg IV. Before observation 3: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV.
Anesthesia: Intervention on 13.12: ORIF with IMP for serial metatarsal fractures left. Premedication at 09.54: Medetomidin 0.005 mg/kg IV (Methadon 0.2 mg/kg IV was already given at 08:30). Induction: Ketamin 1 mg/kg IV, Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Methadon 0.1 mg/kg IV, local anaesthesia GIN TONIC block Ropivacain 2 mg/kg (1.28 ml) & (Dex)medetomidin 0.02 ml. Antibiotics: Cefazolin 22 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 210 min.
Pain type: acute, orthopedic, somatic
Pain origin: hind legs
Pain duration: Less than 24 hours
Estimated pain severity: 58
Species: dog
Breed: Bolonka Zwetna
Sex: f, not neutered
Weight: 3.85 kg
Birth date: 2017-04-05 00:00:00
Primary diagnosis: Displaced, closed, acute, simple transverse diaphyseal fractures of MT (metatarsus) II through V
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Bree was admitted to our clinic on 12.12.24 due to a bite wound on her head caused by a fight with a dachshund.That day the dog had a fight with a female dachshund, she was on a walk (with leash) and suddenly the dachshund attacked Bree. During the examination examination a small wound under the right ear and a small wound of the right upper eyelid were found. As the dog waslked lame and there was crepitation of the left metatarsus, a fracture was suspected and x-rays were taken. X-rays report (12.11.2924): Displaced, closed, acute, simple transverse diaphyseal fractures of MT II through V with associated soft tissue swelling. On 13.12 the dog went into surgery.
Medication: 12.12: Methadon 0.2 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID. 13.12 before observation 1: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV. Before observation 2: Methadon 0.2 mg/kg IV, Meloxicam 0.1 mg/kg IV. Before observation 3: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV.
Anesthesia: Intervention on 13.12: ORIF with IMP for serial metatarsal fractures left. Premedication at 09.54: Medetomidin 0.005 mg/kg IV (Methadon 0.2 mg/kg IV was already given at 08:30). Induction: Ketamin 1 mg/kg IV, Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Methadon 0.1 mg/kg IV, local anaesthesia GIN TONIC block Ropivacain 2 mg/kg (1.28 ml) & (Dex)medetomidin 0.02 ml. Antibiotics: Cefazolin 22 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 210 min.
Pain type: acute, orthopedic, somatic
Pain origin: hind legs
Pain duration: 24 hours to 7 days
Estimated pain severity: 48
Species: dog
Breed: Bolonka Zwetna
Sex: f, not neutered
Weight: 3.85 kg
Birth date: 2017-04-06 00:00:00
Primary diagnosis: Displaced, closed, acute, simple transverse diaphyseal fractures of MT (metatarsus) II through V
Situation: Post-surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Bree was admitted to our clinic on 12.12.24 due to a bite wound on her head caused by a fight with a dachshund.That day the dog had a fight with a female dachshund, she was on a walk (with leash) and suddenly the dachshund attacked Bree. During the examination examination a small wound under the right ear and a small wound of the right upper eyelid were found. As the dog waslked lame and there was crepitation of the left metatarsus, a fracture was suspected and x-rays were taken. X-rays report (12.11.2924): Displaced, closed, acute, simple transverse diaphyseal fractures of MT II through V with associated soft tissue swelling. On 13.12 the dog went into surgery.
Medication: 12.12: Methadon 0.2 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID. 13.12 before observation 1: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV. Before observation 2: Methadon 0.2 mg/kg IV, Meloxicam 0.1 mg/kg IV. Before observation 3: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV.
Anesthesia: Intervention on 13.12: ORIF with IMP for serial metatarsal fractures left. Premedication at 09.54: Medetomidin 0.005 mg/kg IV (Methadon 0.2 mg/kg IV was already given at 08:30). Induction: Ketamin 1 mg/kg IV, Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Methadon 0.1 mg/kg IV, local anaesthesia GIN TONIC block Ropivacain 2 mg/kg (1.28 ml) & (Dex)medetomidin 0.02 ml. Antibiotics: Cefazolin 22 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 210 min.
Pain type: acute, orthopedic, somatic
Pain origin: hind legs
Pain duration: 24 hours to 7 days
Estimated pain severity: 39
Species: dog
Breed: Eurasian
Sex: m, neutered
Weight: 23.3 kg
Birth date: 2019-12-02 00:00:00
Primary diagnosis: Cruciate ligament rupture right
Situation: Pre-surgery
Medical history: The dog was presented to the clinic on 19.11.2024 (didn't film him here). The dog has had recurrent lameness in the right hind limb for a month, first he was severely lame for a few days and then it got increasingly better again. The dog already underwent surgery on the left knee (athroscopy and TPLO) in November 2023. The current symptoms in the form of difficulty standing up and starting and intermittent mild lameness are the same as when the left cruciate ligament ruptured. On that day (19.11) x-rays of the right stifle were taken --> report: Mild joint distension, osteoarthritis and narrowing of the medial aspect of the joint --> Consistent effusion/synovial hypertrophy and suggestive of CCL injury; The narrowing of the medial aspect of the joint might be positional or due to meniscal injury. The dog was sent home with Carprofen therapy for 10 days and then came back on 16.12 to go into surgery on 17.12. The surgery went well and the dog was released on 18.12.
Medication: No medication before presentation on 16.12. 16.12 at 17: Gabapentin 4.3 mg/kg PO, Trazodon 2.1 mg/kg PO. 17.12 before observation 1: no medication. 17.12 after observation 1: see anesthesia report. 17.12 after observation 2: 1x Methadon 0.2 mg/kg IV (around 15) then switch to Buprenorphin 0.02 mg/kg IV TID, Ampicillin 30 mg/kg IV TID, 1x Acepromazin 0.02 mg/kg IV around 15, 1x Medetomidin 0.004 mg/kg IV around 15, Trazodon 5 mg/kg PO at 17, Gabapentin 8 mg/kg PO at 17 and 24. 18.12 (nothing given before observation 3): Buprenorphine 0.02 mg/kg IV TID, Carprofern 4 mg/kg IV SID, Gabapentin 10 mg/kg PO TID, Trazodon 5 mg/kg PO SID, Ampicillin 30 mg/kg IV TID.
Anesthesia: Intervention on 17.12.2024: Arthroscopy & TPLO right. Premedication at 08:27: Medetomidin 0.01 mg/kg IV, Methadon 0.2 mg/kg IV, Acepromazin 0.015 mg/kg IV. Induction: Ketamin 1 mg/kg IV, Propofol 1.3 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Methadon 0.1 mg/kg IV, local anaesthesia Femoralis / Ischiadicus block Ropivacain 1.5 mg/kg IV. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: hypotension, bradycardia, low EtCO2. Wake up phase: Bolus Methadon 0.1 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 150 min. Anaesthesia duration: 250 min.
Orthopedic exam: Performed on 19.11. Gait: No recognisable lameness. Palpation: slightly filled knee joint on the right; right knee joint dolent in extension; Relieving posture when sitting (positive sitting test); Certain laxity in drawer test; Tibial compression test negative.
Pain type: subacute, orthopedic, somatic
Pain origin: hind legs
Pain duration: More than 7 days
Estimated pain severity: 18
Species: dog
Breed: Eurasian
Sex: m, neutered
Weight: 23.3 kg
Birth date: 2019-12-03 00:00:00
Primary diagnosis: Cruciate ligament rupture right
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog was presented to the clinic on 19.11.2024 (didn't film him here). The dog has had recurrent lameness in the right hind limb for a month, first he was severely lame for a few days and then it got increasingly better again. The dog already underwent surgery on the left knee (athroscopy and TPLO) in November 2023. The current symptoms in the form of difficulty standing up and starting and intermittent mild lameness are the same as when the left cruciate ligament ruptured. On that day (19.11) x-rays of the right stifle were taken --> report: Mild joint distension, osteoarthritis and narrowing of the medial aspect of the joint --> Consistent effusion/synovial hypertrophy and suggestive of CCL injury; The narrowing of the medial aspect of the joint might be positional or due to meniscal injury. The dog was sent home with Carprofen therapy for 10 days and then came back on 16.12 to go into surgery on 17.12. The surgery went well and the dog was released on 18.12.
Medication: No medication before presentation on 16.12. 16.12 at 17: Gabapentin 4.3 mg/kg PO, Trazodon 2.1 mg/kg PO. 17.12 before observation 1: no medication. 17.12 after observation 1: see anesthesia report. 17.12 after observation 2: 1x Methadon 0.2 mg/kg IV (around 15) then switch to Buprenorphin 0.02 mg/kg IV TID, Ampicillin 30 mg/kg IV TID, 1x Acepromazin 0.02 mg/kg IV around 15, 1x Medetomidin 0.004 mg/kg IV around 15, Trazodon 5 mg/kg PO at 17, Gabapentin 8 mg/kg PO at 17 and 24. 18.12 (nothing given before observation 3): Buprenorphine 0.02 mg/kg IV TID, Carprofern 4 mg/kg IV SID, Gabapentin 10 mg/kg PO TID, Trazodon 5 mg/kg PO SID, Ampicillin 30 mg/kg IV TID.
Anesthesia: Intervention on 17.12.2024: Arthroscopy & TPLO right. Premedication at 08:27: Medetomidin 0.01 mg/kg IV, Methadon 0.2 mg/kg IV, Acepromazin 0.015 mg/kg IV. Induction: Ketamin 1 mg/kg IV, Propofol 1.3 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Methadon 0.1 mg/kg IV, local anaesthesia Femoralis / Ischiadicus block Ropivacain 1.5 mg/kg IV. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: hypotension, bradycardia, low EtCO2. Wake up phase: Bolus Methadon 0.1 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 150 min. Anaesthesia duration: 250 min.
Orthopedic exam: Performed on 19.11. Gait: No recognisable lameness. Palpation: slightly filled knee joint on the right; right knee joint dolent in extension; Relieving posture when sitting (positive sitting test); Certain laxity in drawer test; Tibial compression test negative.
Pain type: acute, subacute, inflammatory, orthopedic, somatic
Pain origin: hind legs
Pain duration: Less than 24 hours
Estimated pain severity: 53
Species: dog
Breed: Eurasian
Sex: m, neutered
Weight: 23.3 kg
Birth date: 2019-12-04 00:00:00
Primary diagnosis: Cruciate ligament rupture right
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog was presented to the clinic on 19.11.2024 (didn't film him here). The dog has had recurrent lameness in the right hind limb for a month, first he was severely lame for a few days and then it got increasingly better again. The dog already underwent surgery on the left knee (athroscopy and TPLO) in November 2023. The current symptoms in the form of difficulty standing up and starting and intermittent mild lameness are the same as when the left cruciate ligament ruptured. On that day (19.11) x-rays of the right stifle were taken --> report: Mild joint distension, osteoarthritis and narrowing of the medial aspect of the joint --> Consistent effusion/synovial hypertrophy and suggestive of CCL injury; The narrowing of the medial aspect of the joint might be positional or due to meniscal injury. The dog was sent home with Carprofen therapy for 10 days and then came back on 16.12 to go into surgery on 17.12. The surgery went well and the dog was released on 18.12.
Medication: No medication before presentation on 16.12. 16.12 at 17: Gabapentin 4.3 mg/kg PO, Trazodon 2.1 mg/kg PO. 17.12 before observation 1: no medication. 17.12 after observation 1: see anesthesia report. 17.12 after observation 2: 1x Methadon 0.2 mg/kg IV (around 15) then switch to Buprenorphin 0.02 mg/kg IV TID, Ampicillin 30 mg/kg IV TID, 1x Acepromazin 0.02 mg/kg IV around 15, 1x Medetomidin 0.004 mg/kg IV around 15, Trazodon 5 mg/kg PO at 17, Gabapentin 8 mg/kg PO at 17 and 24. 18.12 (nothing given before observation 3): Buprenorphine 0.02 mg/kg IV TID, Carprofern 4 mg/kg IV SID, Gabapentin 10 mg/kg PO TID, Trazodon 5 mg/kg PO SID, Ampicillin 30 mg/kg IV TID.
Anesthesia: Intervention on 17.12.2024: Arthroscopy & TPLO right. Premedication at 08:27: Medetomidin 0.01 mg/kg IV, Methadon 0.2 mg/kg IV, Acepromazin 0.015 mg/kg IV. Induction: Ketamin 1 mg/kg IV, Propofol 1.3 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Methadon 0.1 mg/kg IV, local anaesthesia Femoralis / Ischiadicus block Ropivacain 1.5 mg/kg IV. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: hypotension, bradycardia, low EtCO2. Wake up phase: Bolus Methadon 0.1 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 150 min. Anaesthesia duration: 250 min.
Orthopedic exam: Performed on 19.11. Gait: No recognisable lameness. Palpation: slightly filled knee joint on the right; right knee joint dolent in extension; Relieving posture when sitting (positive sitting test); Certain laxity in drawer test; Tibial compression test negative.
Pain type: acute, subacute, inflammatory, orthopedic, somatic
Pain origin: hind legs
Pain duration: Less than 24 hours
Estimated pain severity: 53
Species: dog
Breed: Labrador Retriever
Sex: f, neutered
Weight: 30,6 kg
Birth date: 2015-05-05 00:00:00
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog first presented in May 2023 due to vomiting, elevated liver parameters with neutrophilia and suspected gallstones, during antibiotic therapy, the dog was doing well but afterwards there was a relapse with vomiting, icreric serum, neutrophilia, elevated liver values, apathy and fever of 40°C. Dual antibiotic therapy and symptomatic treatment were started, with surgery planned for early June. June 19,2023 the dog showed significant clinical improvement, the ultrasound was unremarkable, and blood values were within normal limits, leading to the decision to postpone surgery. February 5th 2024 follow up ultrasound was performed and conservative therapy with Ursodiol (Ursochol) was continued. July 16th 2024 the dog experienced abdominal pain, apathy and suspected cholangitis. Antibiotics were restarted on January 2nd 2025 (Combiclav). January 8th 2025 follow up examination of gallbladder was conducted, and the dog was referred to University of Bern for gallbladder mucocele surgery. The dog has been symptom-free and clinically healthy since restarting antibiotics. Ultrasound: Marked peri-hepatic and cranial abdominal steatopathy with minimal peritoneal effusion, mild diffuse hepatiopathy and bilateral chronic nephropathy, moderate to marked cholangiopathy with persistent marked regional steatopathy, moderate focal gastropathy, unchanged diffuse mild hepathopathy
Medication: Before presentation (time unclear, around 16.07.24) Metronidazol as antibiotics, since 02.01.25 Combiclav (amoxicilline and clavucanic acid), since last year (not clear since when and which dosage) Ursochol 13.85 mg/kg PO SID
Anesthesia: Intervention at 09.01.2025: Premedication with Medetomidin 0.004 mg/kg i.v. and Methadon 0.2 mg/kg i.v., Induction Propofol 1 mg/kg i.v., Ketamin 1 mg/kg i.v., Maintenance: Propofol Boli (not mentioned how much), Analgesia: Fentanyl 0.002 mg/kg i.v., Fentanyl CRI 2-10 ug/kg/h and Lidocain CRI 30-50 ug/kg/min, Antibiotics: Ampicillin/sulbactam 30 mg/kg i.v.; Ephedrin 0.1 mg/kg i.v. 2x
Orthopedic exam: -
Neurologic exam: -
Pain type: acute, inflammatory, visceral
Pain origin: inguinal
Pain duration: Less than 24 hours
Estimated pain severity: 37
Species: dog
Breed: Mischling
Sex: f, neutered
Weight: 17,8 kg
Birth date: 2017-08-01 00:00:00
Primary diagnosis: Trauma of unknown origin: Large degloving injury, laceration on the right tarsus, traumatic hyphema with conjunctival hemorragia and uveitis right eye, Horner Syndrom mild form right eye, left eye hematoma medial cantus
Situation: hospitalized
Medical history: 05.01.2025 dog startled by firework during a walk by the Aare River and ran away. About 20 minutes later the dog returned with a large wound on her back. Otherwise the dog is healthy and was adopted from Greece about three years ago. Extensive wound from the right to the left shoulder with a skin flap with mild to moderate bleeding. Both eyes are reddened, the right eye significantly worse and swollen. Negative Fluorescin test in both eyes. Intervention 05.01.2025 Surgical debridement, lavage, active drain with primary closure, large area of skin lifted up from underlying tissue from scapulae area to caudal lumbal vertebra, thoracolumbar fascia and epaxial muscles at the mid lumbar level damageed/torned. Radiology: mild focal alveolar lung pattern, cranial segment of the left cranial lung lobe, left thoracic wall swelling and emphysema, prior/old fracture vs. malformation of the cranial endplate of T10.
Medication: Before presentation Methadone 0,2 mg/kg, 06.01.2025 Methadone 0,2 mg/kg/h IV q4h, Ketamin 1mg/kg SC qh6, Carprofen 4 mg/kg IV SID, Ampiciline 30 mg/kg IV TID, since 07.01.2025 Buprenorphine 0,015 mg/kg IV TID, 09.01.2025 Ondansetron 0,3 mg/kg TID IV, Buprenorphin 0,02 mg/kg TID IV, Paracetamol 15 mg/kg TID IV, Gapapentin 10 mg/kg TID IV,
Anesthesia: Intervention at 05.01.2025: Premedication with Dexmedetomidin 0.005 mg/kg i.v., Induction with Ketamin 2 mg/kg i.v. and Diazepam 0.1 mg/kg i.v. and Propofol 2.5 mg/kg i.v., Analgesia: Fentanyl CRI 0.005 mg/kg/h i.v., Antibiotics: Ampicillin 30 mg/kg i.v.
Orthopedic exam: -
Neurologic exam: -
Pain type: acute, inflammatory, orthopedic, somatic
Pain origin: thorax, hind legs, eyes
Pain duration: 24 hours to 7 days
Estimated pain severity: 40
Species: dog
Breed: Entlebucher Sennenhund
Sex: f, neutered
Weight: 28 kg
Birth date: 2016-08-22 00:00:00
Primary diagnosis: hemoabdomen, spleen mass
Situation: emergency initial
Medical history: The dog was let out at 5:30 am and seems less motivated than usual, no specific issues were observed, 7am he refused his food and stayed lying down, displaying rapid breathing and lethargy. The dog had previously been diagnosed with thrombocytopenia in the summer after presenting with bloody urine, he was on antibiotics (duration unclear) and corticosteroids, which were tapered off in mid-December. General Condition: moderately reduced, alternating between side position and sternal recumbency. Cardiac examination: Heart grade left, systolic murmur 1/6, but heart sounds generally very muffled bilatera,,y rhtythm regular, pulse synchronous, lung examination: generally dull lung sounds. Radiographs - X-rays: left lateral thorax and abdomen - small vessels and CVC indicating hypovolemia, no clear evidence of metastatis, Abdomen: reduced serosal detail and stripy opacification, increased soft tissue opacity mid abdomen, summation, round soft tissue opacity level of pyloric antrum on thoracic left lateral but mild amount of gas on abdominal left lateral, soft tissue opacity pelvic inlet, possibly indicating mass/enlarged lymphnode; Ultrasound: Large splenic mass with diffuse splenomegaly and splenopathy, marked diffuse corpuscular peritoneal effusion, moderate jejunal, ileocecocolic and colic lymphadenopathy, the splenic mass with corpuscular effusion are highly suspicious for a ruptured splenic mass resulting in the know hemoperitoneum. Intervention at 13.01.25: Midline laparotomy, splenectomy, gastropexy. Intraoperative: Ruptured important size lesion on the body of the spleen, free hemorrhagic abdominal fluid (moderate quantity, 1L).
Medication: Prednisolon until Dezember 2024 (dosage unknown); Metamizol 30 mg/kg i.v., Fentanyl CRI (dosage/rate not known), Methadon 0.2 mg/kg i.v. q4h, Ondansetron 0.3 mg/kg IV TID, Cerenia 1 mg/kg IV SID, Transexamsäure 10 mg/kg i.v.
Anesthesia: Intervention at 13.01.2025 - Premedication: Methadon 0.1 mg/kg i.v., Induction: Propofol 1 mg/kg i.v., Ketamin 0.5 mg/kg i.v., Midazolam 0.2 mg/kg i.v., Analgesia: Fentanyl 0.0025 mg/kg i.v., Lidocain 2 mg/kg i.v., Fentanyl CRI 0.0025 mg/kg/h, Lidocain CRI 2 mg/kg/h, Dopamin until 0.007 mg/kg/h, Post operative Analgesia: Fentanyl CRI 0.0025 ml/kg/h, Lidocain CRI 2 ml/kg/h
Orthopedic exam: -
Neurologic exam: -
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 54
Species: dog
Breed: Entlebucher Sennenhund
Sex: f, neutered
Weight: 29 kg
Birth date: 2016-08-23 00:00:00
Primary diagnosis: hemoabdomen, spleen mass
Situation: emergency follow-up
Time since surgery: 4-6 hrs
Medical history: The dog was let out at 5:30 am and seems less motivated than usual, no specific issues were observed, 7am he refused his food and stayed lying down, displaying rapid breathing and lethargy. The dog had previously been diagnosed with thrombocytopenia in the summer after presenting with bloody urine, he was on antibiotics (duration unclear) and corticosteroids, which were tapered off in mid-December. General Condition: moderately reduced, alternating between side position and sternal recumbency. Cardiac examination: Heart grade left, systolic murmur 1/6, but heart sounds generally very muffled bilatera,,y rhtythm regular, pulse synchronous, lung examination: generally dull lung sounds. Radiographs - X-rays: left lateral thorax and abdomen - small vessels and CVC indicating hypovolemia, no clear evidence of metastatis, Abdomen: reduced serosal detail and stripy opacification, increased soft tissue opacity mid abdomen, summation, round soft tissue opacity level of pyloric antrum on thoracic left lateral but mild amount of gas on abdominal left lateral, soft tissue opacity pelvic inlet, possibly indicating mass/enlarged lymphnode; Ultrasound: Large splenic mass with diffuse splenomegaly and splenopathy, marked diffuse corpuscular peritoneal effusion, moderate jejunal, ileocecocolic and colic lymphadenopathy, the splenic mass with corpuscular effusion are highly suspicious for a ruptured splenic mass resulting in the know hemoperitoneum. Intervention at 13.01.25: Midline laparotomy, splenectomy, gastropexy. Intraoperative: Ruptured important size lesion on the body of the spleen, free hemorrhagic abdominal fluid (moderate quantity, 1L).
Medication: Prednisolon until Dezember 2024 (dosage unknown); Metamizol 30 mg/kg i.v., Fentanyl CRI (dosage/rate not known), Methadon 0.2 mg/kg i.v. q4h, Ondansetron 0.3 mg/kg IV TID, Cerenia 1 mg/kg IV SID, Transexamsäure 10 mg/kg i.v.
Anesthesia: Intervention at 13.01.2025 - Premedication: Methadon 0.1 mg/kg i.v., Induction: Propofol 1 mg/kg i.v., Ketamin 0.5 mg/kg i.v., Midazolam 0.2 mg/kg i.v., Analgesia: Fentanyl 0.0025 mg/kg i.v., Lidocain 2 mg/kg i.v., Fentanyl CRI 0.0025 mg/kg/h, Lidocain CRI 2 mg/kg/h, Dopamin until 0.007 mg/kg/h, Post operative Analgesia: Fentanyl CRI 0.0025 ml/kg/h, Lidocain CRI 2 ml/kg/h
Orthopedic exam: -
Neurologic exam: -
Pain type: acute, inflammatory, visceral
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 74
Species: dog
Breed: American Bully
Sex: m, not neutered
Weight: 30kg
Birth date: 2016-08-25 00:00:00
Primary diagnosis: Rupture of medial collateral ligament right carpaljoint, bilateral osteoarthritis in elbows, HD
Situation: consultation
Medical history: Morning of November 8th 2024 the dog exhibited acute lameness in the right forelimb following a suspected fall from the sofa, completely refusing to bear weight on the limb. On the same day, he was examined by primary vet and started on Rimadyl without improvement. Two days later, the entire limb up to above the elbow was swollen and warm. Follow-up examination on Novemeber, 11th,2024 indcluded X-rays if the right forelimb. On November 15th, 2024, Rimadyl adminsitration was discontinued due to lack of improvement. Treatment was initiated with Cylanic 625 mg twice daily and Gabapentin 300mg (1 capsule once or twitce daily). The swelling reduced and the lameness improved slightly. History of bilateral elbows surgeries performed at one year of age. For osteoarthritis management, he gets Librela injections once monthly for the past two years which have significantly reduced his discomfort. X-Rays 19.11.24 focal lytic-like lesion with articular involvement and distal fissure, right distomedial radial epiphysis, severe regional soft tissue swelling, signs of right medial carpal instability. Surgical intervention 03.12.24 of the rupture of the medial collateral ligament of the right carpal joint. Weekly bandage changes, suture removal 10-14 days post-surgery, splint bandage for 6 weeks. 26.11.24 Replacement of a broken Scotch-cast splint bandage for the affected limb. Follow up evaluation 13.01.25.
Medication: Initial medical treatment after surgery: Rimadyl 0.01 mg/kg i.v. SID, Gabapentin 300 mg 1 capsule 3 times daily, Methadone 0.2 mg/kg i.v. g4h (03.12.24), Buprenorphine 0.02 mg/kg i.v. TID (04.12.2024). Home Therapy: Rimadyl 100mg 1 tablet once daily for 6 days, Gabapentin 300 mg 1 capsule 2-3 times daily for 7 days, then reduced to once daily for 7 days, Librela injections once a month since 2 years for osteoarthritis
Anesthesia: Intervention on 03.12.24 for repairment if the right medial carpus ligament - Premedication Medetomidin 0.007 mg/kg i.m., Methadon 0.2 mg/kg i.m., Induction: Ketamin 1 mg/kg i.v., Propofol 2 mg/kg i.v., Analgesia: Methadon 0.1 mg/kg i.v., Regional anesthesia Ropivacain 2 mg/kg i.v., Antibiotics: Ampicillin 30 mg/kg i.v.
Orthopedic exam: 18.11.24 Lameness right front 3/4, swelling right carpus, painful at palpation, no weight bearing; 13.01.25: : weight-bearing on the affected limb, sensitive in his paws but appears healthy and fit. Lameness Grade 1/4 on the right forelimb without the splint, Range of Motion: Limited in flexion, the joing cannot be opened medially, mild valgus deformity of the right paw. The splint was replaced with crepe bandage for 2 weeks.
Neurologic exam: -
Pain type: acute, inflammatory, orthopedic
Pain origin: hind legs
Pain duration: More than 7 days
Estimated pain severity: 38
Species: dog
Breed: Labrador Retriever
Sex: m, not neutered
Weight: not known
Birth date: 2019-05-17 00:00:00
Primary diagnosis: Bilateral lumbosacral stenosis
Situation: consultation
Medical history: Two months ago lameness began left hind leg.. Anti-inflammatory medication (Metacam) was administered which improved the condition. When the medication was stopped, the symptoms worsened again. Overall, the dogs condition has also deteriorated. Further diagnostics (suspected cruciate ligament rupture). Radiographs: tarsus on both sides and the right knee joint showed no particular abnormalities. On the VD view of the pelvis, there was a mineralization in the muscle, probably the iliopsoas, in the cranial position of the femur. This indicates a chronic event, which is not the cause of the lameness. On the lateral view of the pelvis, the lumbosacral junction was notable, which could be a sign of lumbosacral stenosis. MRI of the spine: bilateral foramina stenosis was diagnosed, more pronounced on the left, this is consistent with intermittent lameness
Medication: Initial Medication before presentation of the dog: Metacam (dosage unknown); Cortisone Injection on the left side was administered under ultrasound guidance (0.5 ml of Kenacort-10)
Anesthesia: Sedation for MRI - Premedication: Methadon 0.2 mg/kg i.v., Medetomidin 0.004 mg/kg i.v., Induction: Ketamin 1 mg/kg i.v., Propofol 1 mg/kg i.v., Post-operative sedation: Medetomidin 0.001 mg/kg i.v.
Orthopedic exam: Slight lameness on the left hind leg, mild lameness on the right. Drawer test and tibial compression test were normal, the knee joint was not filled, the hip muscles were tense, and both extension and flexion of the hip were painful. Palpation of the back, the dog was painful at the lumbosacral junction.
Neurologic exam: -
Pain type: acute, neuropathic, orthopedic
Pain origin: back
Pain duration: More than 7 days
Estimated pain severity: 41