oliveirabruno01/openfarm-dog-pain huggingface dataset:
Species: dog
Breed: Mischling Border Collie
Sex: f, neutered
Weight: 13.1 kg
Birth date: 2014-07-01 00:00:00
Primary diagnosis: mass in left ear canal
Situation: pre surgery
Medical history: The dog has been shaking the head more than usual since one month. The private vet discovered whilst otoscopy a small bluish size of 3-4 mm mass in the left external ear canal, anchored in the wall of the canal. Appears to be bi-lobed. The mass seemed to have grown slightly within one month. Intervention 20.01.25 for biopsy and excision of mass in general anesthesia. Suspicion of middle ear infection
Medication: none
Anesthesia: Intervention at 20.01.2025 - Premedication: Dexmedetomidin 0.004 mg/kg IV, Methadon 0.2 mg/kg IV, Induction: Propofol 3 mg/kg IV, Localanesthesia: Ropivacain 0.5 mg/kg i.m.
Orthopedic exam: -
Neurologic exam: -
Pain type: no pain
Pain origin: ears
Estimated pain severity: 0
Species: dog
Breed: Dackel
Sex: m, not neutered
Weight: 9.06 kg
Birth date: 2015-05-03 00:00:00
Primary diagnosis: progressive acute paraparesis to paraplegia, Disc L2-L3 left lateral
Situation: hospitalized
Medical history: 15.01.25 the dog yelped and was found on the floor beside his bed, possibly from a fall. He initially had an abnormal gait but improved quickly. Due to increased lying down, he was seen by the primary vet, with a suspected herniated disc. He was treated with Metacam and Buprenorphine. His condition worsened with severe panting, Schiff-Sherrington posture, apathy and a rigid head-neck posture. By evening, Gapapentin 100mg was added. 16.01.25, his condition continued to deteriorate, leaving him unable to walk, not eating, not urinating, not drinking. The rapid progression suggests a severe spinal cord injury, possibly from a herniated disc or other spinal issues
Medication: Gabapentin 10 mg/kg PO TID, Meloxicam 0.1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Methadon 0.1 mg/kg IV q4, Ointment for both eyes q4h
Anesthesia: Intervention at 19.01.25 for Hemilaminektomie: Premedication with Methadon 0.1 mg/kg IV, Medetomidin 0.005 mg/kg IV, Induction with Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV to effect, Intraoperative Analgesia Fentanyl Bolus 3 mg/kg IV, Fentanyl CRI 0.001 mg/kg/h and Ketamin 0.6 mg/kg IV, Lokal/Regional anesthesia Ropivacain 1.1 mg/kg, Antibiotics Cefazolin 22 mg/kg IV, Glykopyrrolat 0.01 mg/kg IV, Post OP Analgesia Fentanyl CRI 0.001 mg/kg
Orthopedic exam: -
Neurologic exam: Consciousness and Behavior: highly stressed, Posture: Sitting with an extended neck, unable to stand, Gait: Reluctant to walk, took a few steps with great effort - right hind limb paresis, left hind limb paralysis, Postural and Position Reactions: Absent correction reactions bilaterally in the hind limbs, reduced proprioception bilaterally in the hind limbs. Spinax Reflexes - front: normal, left hind: muscle tone mildly reduced, mildly reduced flexor reflex, patellar reflex absent, right hind: muscle tone normal, reduced flexor reflex, panniculus cut-off at thoracolumbar junction, cranial nerves: normal, sensibility: muscle tension at the thoracolumbar junction, deep pain: present, urination: spontaneous urination possible
Pain type: acute, inflammatory, beuropathic, orthopedic
Pain origin: back
Pain duration: 24 hours to 7 days
Estimated pain severity: 61
Species: dog
Breed: Eurasier
Sex: m, neutered
Weight: 23,8 kg
Birth date: 2019-12-02 00:00:00
Primary diagnosis: Partial rupture of the Cranial Cruciate ligament (right side), acute lameness
Situation: Pre-surgery
Medical history: On 17.12.24 an athroscopy and TPLO were performed due to a partial tear of cranial cruciate ligament in the right knee. At that time, the menisci were intact. The dog was discharged home in good general condition on 18.12.24. The post-operative recovery was initially positive, with a gradual increase in weight-bearing on the right hind limb and no significant pain. Two weeks after the surgery, after running again, lameness reappeared in the right hind limb. The lameness remained stable. Rimadyl was resumed, and a single dose of Gabapentin 300mg was administered. A previous medication with Trittico caused diarrhea. A CT scan with contrast reealed a lesion in the caudal horn of the medial meniscus. Intervention on 29.01.25: Arthroscopy right knee under general anesthesia with meniscal debridement.
Medication: Gabapentin 300mg two capsules three times a day until 28.01.25, on the evening of 28.01.25 and the morning of 29.01.25, increasing the dose to three capsules, Trittico 50mg two capsules SID on 28.01 and in the morning of 29.01.25, Dafalgan 500mg 1/2 tablet TID
Anesthesia: Premedication with Dexmedetomidin 0.008 mg/kg IM, Methadon 0.2 mg/kg IM, Induction: Ketamin 1 mg/kg IV, Propofol 2 mg/kg IV, Analgesia: Ketamin CRI 0.6 mg/kg/h, Dexmedetomidin 0.001 mg/kg IV, Antibiotics: Cefazolin 20 mg/kg IV, post-operative sedation: Acepromazin 0.005 mg/kg IV, Buprenorphin 0.015 mg/kg IV
Orthopedic exam: Lameness of grade 3-4/5. When standing, the affected limb is consistently unloaded. There is marked pain medially in the right knee joint. The knee joint is swollen but not excessively warm. The Pivot-Shift test is positive, while the tibial compression test is negative. A "clicking" sound is audible during extension and flexion of the right knee. The surgical wound is well-healed, dry, not swollen and not painful.
Neurologic exam: -
Pain type: subacute, orthopedic, somatic
Pain origin: hind legs
Pain duration: More than 7 days
Estimated pain severity: 18
Species: dog
Breed: Eurasier
Sex: m, neutered
Weight: 23,8 kg
Birth date: 2019-12-03 00:00:00
Primary diagnosis: Partial rupture of the Cranial Cruciate ligament (right side), acute lameness
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: On 17.12.24 an athroscopy and TPLO were performed due to a partial tear of cranial cruciate ligament in the right knee. At that time, the menisci were intact. The dog was discharged home in good general condition on 18.12.24. The post-operative recovery was initially positive, with a gradual increase in weight-bearing on the right hind limb and no significant pain. Two weeks after the surgery, after running again, lameness reappeared in the right hind limb. The lameness remained stable. Rimadyl was resumed, and a single dose of Gabapentin 300mg was administered. A previous medication with Trittico caused diarrhea. A CT scan with contrast reealed a lesion in the caudal horn of the medial meniscus. Intervention on 29.01.25: Arthroscopy right knee under general anesthesia with meniscal debridement.
Medication: Gabapentin 300mg two capsules three times a day until 28.01.25, on the evening of 28.01.25 and the morning of 29.01.25, increasing the dose to three capsules, Trittico 50mg two capsules SID on 28.01 and in the morning of 29.01.25, Dafalgan 500mg 1/2 tablet TID
Anesthesia: Premedication with Dexmedetomidin 0.008 mg/kg IM, Methadon 0.2 mg/kg IM, Induction: Ketamin 1 mg/kg IV, Propofol 2 mg/kg IV, Analgesia: Ketamin CRI 0.6 mg/kg/h, Dexmedetomidin 0.001 mg/kg IV, Antibiotics: Cefazolin 20 mg/kg IV, post-operative sedation: Acepromazin 0.005 mg/kg IV, Buprenorphin 0.015 mg/kg IV
Orthopedic exam: Lameness of grade 3-4/5. When standing, the affected limb is consistently unloaded. There is marked pain medially in the right knee joint. The knee joint is swollen but not excessively warm. The Pivot-Shift test is positive, while the tibial compression test is negative. A "clicking" sound is audible during extension and flexion of the right knee. The surgical wound is well-healed, dry, not swollen and not painful.
Neurologic exam: -
Pain type: acute, subacute, inflammatory, orthopedic, somatic
Pain origin: hind legs
Pain duration: Less than 24 hours
Estimated pain severity: 53
Species: dog
Breed: Eurasier
Sex: m, neutered
Weight: 23,8 kg
Birth date: 2019-12-04 00:00:00
Primary diagnosis: Partial rupture of the Cranial Cruciate ligament (right side), acute lameness
Situation: Pre-surgery
Medical history: On 17.12.24 an athroscopy and TPLO were performed due to a partial tear of cranial cruciate ligament in the right knee. At that time, the menisci were intact. The dog was discharged home in good general condition on 18.12.24. The post-operative recovery was initially positive, with a gradual increase in weight-bearing on the right hind limb and no significant pain. Two weeks after the surgery, after running again, lameness reappeared in the right hind limb. The lameness remained stable. Rimadyl was resumed, and a single dose of Gabapentin 300mg was administered. A previous medication with Trittico caused diarrhea. A CT scan with contrast reealed a lesion in the caudal horn of the medial meniscus. Intervention on 29.01.25: Arthroscopy right knee under general anesthesia with meniscal debridement.
Medication: Gabapentin 300mg two capsules three times a day until 28.01.25, on the evening of 28.01.25 and the morning of 29.01.25, increasing the dose to three capsules, Trittico 50mg two capsules SID on 28.01 and in the morning of 29.01.25, Dafalgan 500mg 1/2 tablet TID
Anesthesia: Premedication with Dexmedetomidin 0.008 mg/kg IM, Methadon 0.2 mg/kg IM, Induction: Ketamin 1 mg/kg IV, Propofol 2 mg/kg IV, Analgesia: Ketamin CRI 0.6 mg/kg/h, Dexmedetomidin 0.001 mg/kg IV, Antibiotics: Cefazolin 20 mg/kg IV, post-operative sedation: Acepromazin 0.005 mg/kg IV, Buprenorphin 0.015 mg/kg IV
Orthopedic exam: Lameness of grade 3-4/5. When standing, the affected limb is consistently unloaded. There is marked pain medially in the right knee joint. The knee joint is swollen but not excessively warm. The Pivot-Shift test is positive, while the tibial compression test is negative. A "clicking" sound is audible during extension and flexion of the right knee. The surgical wound is well-healed, dry, not swollen and not painful.
Neurologic exam: -
Pain type: acute, nociceptive, inflammatory, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 40
Species: dog
Breed: Basset Hound
Sex: f, neutered
Weight: 37,1 kg
Birth date: 2016-03-24 00:00:00
Primary diagnosis: Hyperparathyroidism, Urolithiasis, Splenic Mass, Gastropexy
Situation: pre surgery
Medical history: Hyperparathyroidism was diagnosed (02.01.24) of PU/PD that had been progressing for approximately three months. A urinary infection with Staphylococcus intermedius was diagnosed on 06.01.25 but was asymptomatic and not treated. A CT scan revelaled a nodule in the cranial pole of the thyroid gland, consistent with a parathyroid lesion. Bladder stones were visualized at that time. The dog had surgery for bladder stones in January 2024, TPLO left in 2023 and foreign body (needle) removed via laparotomy in 2017. Radiographs revealed enlarged parathyroid glands bilaterally in the cranial region, with a possible additional nodule caudally on the right side. Abdominal X-ray (23.01.25): multiple cysto- and ureterolithiasis, large ventral abdominal soft tissue mass, moderate pneumoperitoneum, focal loss of the caudal abdominal serosa, indistinct ventral abdominal wall, moderate diffuse broncho-interstitial lung patterns with small thoracici volume, moderate degenerative lumbosacral disease. Splenic ultrasound (24.01): large solitary cavitary lesion within the splenic mass, pronounced regional fat infiltration, follow-up splenic ultrasound (27.01.25): splenic cavitary mass, unchanged or minimally increased size compared to 24.01., regressive mesenteric fat infiltration. On 24.01.25 a bilateral cranial parathyroidectomy as well as a caudal lapparotomy and cystostomy were performed. On 29.01.25 an elective splenectomy and gastropexy were performed.
Medication: Calcitriol 5-20mg/kg IV BID, adminstered postoperatively,, discontinued on 25.01.25. Heparin CRI 100IU/kg via central venous catheter. Buprenorphine 0.015mg/kg IV TID, Meloxicam 0.1 mg/kg IV SID, Metoclopramide 0.3 mg/kg IV TID, Trazodone 100mg PO TID if needed, Methadon 0.2 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID, Gabapentin 200mg p.o.
Anesthesia: Anesthesia at 23.01.25: Premedication with Methadon 0.2 mg/kg IV, Induction with Ketamin 1 mg/kg IV, Propofol 3mg/kg IV, Analgesia: Fentanyl 0.005mg/kg IV, Fentanyl CRI 0.005mg/kg IV, Intervention time: 120 min, Total anesthesia time: 320min; Anesthesia for splenectomy at 29.01.2:
Orthopedic exam: -
Neurologic exam: -
Pain type: chronic, neuropathic, visceral
Pain origin: abdomen
Pain duration: More than 7 days
Estimated pain severity: 32
Species: dog
Breed: Pekingese
Sex: m, neutered
Weight: 7.4 kg
Birth date: 2015-11-28 00:00:00
Primary diagnosis: Swelling/mass neck right side
Situation: consultation
Medical history: The dog having sneezing fits, especially at night, several times per hour. At the veterinary clinic an elevated temperature was noted. An infection was suspected and he was sent home. Two days later, swelling appeared on his neck. The following day, they returned to the vet, as swelling had also developed in the side of his face where the neck swelling was. He also stopped eating. At the vet, an abscess on the dogs neck was drained, samples were taken from a mass in his nose for testing. The dog was sent home, but his condition worsened according to the owners, he develoüed nasal bleeding and continued to sneeze frequently. When they returned to the test, blood tests showed inflammation. The dog also had fever and was hospitalized over the weekend. He was given antibiotics, Metacam and stomach protectans, but the dog remained lethargic and refuses to eat. Additionally 2021 diagnosed with epilepsia without therapy. CT (head and neck): right lateral abscess likely associatedee with the right medial mandibular lymph node, right lateral mandibular cystic lymphadenopathy, breed associated congenital nasal malformation
Medication: Anti-inflammatory: Metacam (dosis and time unknown); Since 05.02.25 Ondansetron 0.3 mg/kg IV TID, Metoclopramid 0,3 mg/kg IV TID; Maropitant 1 mg/kg IV SID, Omeprazol 1mg/kg BID, Mirtazapin 7.5 mg/kg PO SID
Anesthesia: Anesthesia for CT (29.01.25) Premedication with Butorphanol 0.2 mg/kg IV, Medetomidin 0.003 mg/kg IV, Induction with Midazolam 0.2 mg/kg IV, Propofol 1 mg/kg IV, total length of anesthesia: 85 min; Intervention on 05.02.25 for long line placement, e-tube placement and punction spleen: Premedication with Butorphanol 0.2 mg/kg IV, Induction: Propofol 13.5 mg/kg IV, Post OP sedation with Dexmedetomidin 0.001 mg/kg IV.
Orthopedic exam: -
Neurologic exam: -
Pain type: acute, nociceptive, inflammatory
Pain origin: head, neck
Pain duration: More than 7 days
Estimated pain severity: 40
Species: dog
Breed: Pekingese
Sex: m, neutered
Weight: 7.4 kg
Birth date: 2015-11-29 00:00:00
Primary diagnosis: Swelling/mass neck right side
Situation: pre surgery
Medical history: The dog having sneezing fits, especially at night, several times per hour. At the veterinary clinic an elevated temperature was noted. An infection was suspected and he was sent home. Two days later, swelling appeared on his neck. The following day, they returned to the vet, as swelling had also developed in the side of his face where the neck swelling was. He also stopped eating. At the vet, an abscess on the dogs neck was drained, samples were taken from a mass in his nose for testing. The dog was sent home, but his condition worsened according to the owners, he develoüed nasal bleeding and continued to sneeze frequently. When they returned to the test, blood tests showed inflammation. The dog also had fever and was hospitalized over the weekend. He was given antibiotics, Metacam and stomach protectans, but the dog remained lethargic and refuses to eat. Additionally 2021 diagnosed with epilepsia without therapy. CT (head and neck): right lateral abscess likely associatedee with the right medial mandibular lymph node, right lateral mandibular cystic lymphadenopathy, breed associated congenital nasal malformation
Medication: Anti-inflammatory: Metacam (dosis and time unknown); Since 05.02.25 Ondansetron 0.3 mg/kg IV TID, Metoclopramid 0,3 mg/kg IV TID; Maropitant 1 mg/kg IV SID, Omeprazol 1mg/kg BID, Mirtazapin 7.5 mg/kg PO SID
Anesthesia: Anesthesia for CT (29.01.25) Premedication with Butorphanol 0.2 mg/kg IV, Medetomidin 0.003 mg/kg IV, Induction with Midazolam 0.2 mg/kg IV, Propofol 1 mg/kg IV, total length of anesthesia: 85 min; Intervention on 05.02.25 for long line placement, e-tube placement and punction spleen: Premedication with Butorphanol 0.2 mg/kg IV, Induction: Propofol 13.5 mg/kg IV, Post OP sedation with Dexmedetomidin 0.001 mg/kg IV.
Orthopedic exam: -
Neurologic exam: -
Pain type: acute, nociceptive, inflammatory, visceral
Pain origin: head, neck
Pain duration: More than 7 days
Estimated pain severity: 44
Species: dog
Breed: Cocker Spaniel
Sex: f, neutered
Weight: 11.3 kg
Birth date: 2021-08-17 00:00:00
Primary diagnosis: Vdx: Polyarthritis / Myositis
Situation: pre surgery
Medical history: The dog has been tired, apathetic and anorexic, fever at home every morning since 1 week (29.01.25). Each time the owner took the dog to the private vet (PTA), the PTA conducted various examinations, including general check-up, hematology and chemistry tests (incl. CRP), urinalysis, genetic test for acetylcholine and measurement of rheumatoid factors. Notable findings were tenderness in the cervical and lumbar spine, a left shift and a high CRP of > 100. The vet administered antibiotics, infusions, Rimadyl and Dexamethason. In the afternoon, the dog improved and was able to return home, eating well again. The same symptoms reappeared the next morning and the PTA referred the dog to the clinic. Intervention on 06.02.25 Joint tap + CSF analysis + muscle biopsy; Radiographs: Subtle left carpal joint-associated soft tissue swelling, mildly aberrant dorsal radial carpal bone contour, mild soft tissue swelling, irregularly and mienral stipples associated with P1/P2 of the fourth and fifth digit. Hematology: non-regenerative anemia, neutrophilia with left shift, monocytosis
Medication: Enrofloxacin 20 mg/kg IV (for suspected sepsis), Rimadyl (29.01-01.02) 4 mg/kg, Since 01.02.25 Dexamethason 0.2 mg/kg, Lincomycin/Spectinomycin 10 mg/kg720 mg/kg IV, 1 day Doxycyclin 10 mg/kg, Synulox for 3 days S.C., 29.01.25 Gabapentin 600 mg 3 tablets, 1 tablet per dose, 30.01.25 Buprenorphin 0.2 mg/kg per tablet, 8 tablets in total
Anesthesia: Anesthesia for joint tab, liquor punction and electrodiagnostics on 06.02.25: Premedication with Methadon 0.2 mg/kg IV, Medetomidin 0.005 mg/kg IV, Induction with Propofol 2 mg/kg IV.
Orthopedic exam: Joint: Mild Effusion in both carpi and tarsi, not warm, not painful
Neurologic exam: Consciousness and Behavior: Alert; Posture: Low head carriage; Gaits: Walks slowly; Postural and Placing Reactions: Normal; Cranial Nerves: Normal; Spinal Reflexes: Normal; Sensitivity: Possible Pain on bilateral cervical flexion. Pain on muscle palpation (epaxial pelvic and thoracic muscles) - quadriceps, biceps femoris, infraspinatus and around the cervical region; Neuroanatomical localization: Muscular?; Differential Diagnoses: Inflammatory (infectous vs. non-infectious)
Pain type: acute, inflammatory, orthopedic
Pain origin: hind legs
Pain duration: 24 hours to 7 days
Estimated pain severity: 38
Species: dog
Breed: Cocker Spaniel
Sex: f, neutered
Weight: 11.3 kg
Birth date: 2021-08-18 00:00:00
Primary diagnosis: Vdx: Polyarthritis / Myositis
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog has been tired, apathetic and anorexic, fever at home every morning since 1 week (29.01.25). Each time the owner took the dog to the private vet (PTA), the PTA conducted various examinations, including general check-up, hematology and chemistry tests (incl. CRP), urinalysis, genetic test for acetylcholine and measurement of rheumatoid factors. Notable findings were tenderness in the cervical and lumbar spine, a left shift and a high CRP of > 100. The vet administered antibiotics, infusions, Rimadyl and Dexamethason. In the afternoon, the dog improved and was able to return home, eating well again. The same symptoms reappeared the next morning and the PTA referred the dog to the clinic. Intervention on 06.02.25 Joint tap + CSF analysis + muscle biopsy; Radiographs: Subtle left carpal joint-associated soft tissue swelling, mildly aberrant dorsal radial carpal bone contour, mild soft tissue swelling, irregularly and mienral stipples associated with P1/P2 of the fourth and fifth digit. Hematology: non-regenerative anemia, neutrophilia with left shift, monocytosis
Medication: Enrofloxacin 20 mg/kg IV (for suspected sepsis), Rimadyl (29.01-01.02) 4 mg/kg, Since 01.02.25 Dexamethason 0.2 mg/kg, Lincomycin/Spectinomycin 10 mg/kg720 mg/kg IV, 1 day Doxycyclin 10 mg/kg, Synulox for 3 days S.C., 29.01.25 Gabapentin 600 mg 3 tablets, 1 tablet per dose, 30.01.25 Buprenorphin 0.2 mg/kg per tablet, 8 tablets in total
Anesthesia: Anesthesia for joint tab, liquor punction and electrodiagnostics on 06.02.25: Premedication with Methadon 0.2 mg/kg IV, Medetomidin 0.005 mg/kg IV, Induction with Propofol 2 mg/kg IV.
Orthopedic exam: Joint: Mild Effusion in both carpi and tarsi, not warm, not painful
Neurologic exam: Consciousness and Behavior: Alert; Posture: Low head carriage; Gaits: Walks slowly; Postural and Placing Reactions: Normal; Cranial Nerves: Normal; Spinal Reflexes: Normal; Sensitivity: Possible Pain on bilateral cervical flexion. Pain on muscle palpation (epaxial pelvic and thoracic muscles) - quadriceps, biceps femoris, infraspinatus and around the cervical region; Neuroanatomical localization: Muscular?; Differential Diagnoses: Inflammatory (infectous vs. non-infectious)
Pain type: acute, inflammatory, orthopedic
Pain origin: hind legs
Pain duration: 24 hours to 7 days
Estimated pain severity: 43
Species: dog
Breed: Chihuahua
Sex: m, not neutered
Weight: 3.86 kg
Birth date: 2017-09-20 00:00:00
Primary diagnosis: Mammary Tumor Complex, castration
Situation: pre surgery
Medical history: The mammary complex on the left side (last and second-to-last) is affected by a tumor. Past Surgical History: Last and second-to-last surgeries and spaying (castratio).
Anesthesia: Intervention on 06.02.25: Premedication with
Orthopedic exam: -
Neurologic exam: -
Pain type: chronic, inflammatory, visceral
Pain origin: abdomen
Pain duration: More than 7 days
Estimated pain severity: 41
Species: dog
Breed: Shih Tzu
Sex: m, neutered
Weight: 7.5 kg
Birth date: 2016-06-19 00:00:00
Primary diagnosis: Neck pain (NL C1-C5), Meningitis
Situation: hospitalized
Medical history: Since 03.02.25 the dog is exhibiting back pain. The owner gave an anti-inflammatory tablet (unkown name). The next morning the condition worsened - panting, kyphosis, reluctance to lie down, head tremors and dragging the left hind leg, the owner gave a second dose of anti-inflammatory. The PTA saw no abnormalities, no observed injury, but cannot be ruled out due to unsupervised garden access. The dog is showing pronounced fasciculations in the neck area, more pronounced on the left side. Head jearking/twitching when the head is manipulated. NAL C1-C5 (Neurological Localization): Possible lesion or issue within the cervical spinal cord, between C1 and C5. Vdx Meningitis: Diagnosis of meningitis (inflammation ofnthe meninges) based on clinical signs and diagnostic evaluation. MRI showed multifocal intra-axial lesions in both cerebral hemispheres, in the pons and in the cervical spinal cord associated with a mild meningitis in the cervical spinal cord. Multifocal disc herniation with no significant (C2-C3, C4-C5 and C5-C6) to mild (L4-L5 and L5-L6) spinal cord compression.
Medication: Dexamethason 2 mg/kg IV SID, Methadone 0.1 mg/kg IV q4h, Gabapentin 10 mg/kg PO TID, Paracetamol 15 mg/kg IV TID, Ondansetron 0.3 mg/kg IV, Buprenorphin 0.02 mg/kg IV, Amoxiclav 0.2 mg/kg PO
Anesthesia: Anesthesia for MRI (Sacrum - brain): Premedication with Medetomidin 0.005 mg/kg-0.1mg/kg IV, showed myclonus after Medetomidin -> was gone after propofol induction with 2 mg/kg IV
Orthopedic exam: -
Neurologic exam: Consciousness and Behavior: Normal, Posture: Can stand, Gait: can walk, slightly unsteady/ataxic, Postural and Placing Reactions: Present, Cranial Nerves: Normal, Spinal reflexes: Normal, Sensitivity: Increased muscle tension in the neck area with fasciculations, especially when the neck is moved upward
Pain type: inflammatory, neuropathic
Pain origin: head, neck
Pain duration: 24 hours to 7 days
Estimated pain severity: 53
Species: dog
Breed: Mastino Napoletano
Sex: m, not neutered
Weight: 58 kg
Birth date: 2024-01-26 00:00:00
Primary diagnosis: OU operated cherry eye; right eye severe conjunctivitis, dorsal displacement of the eyeball by TE mass, dryness
Situation: hospitalized
Medical history: The dog underwent in total 3 ocular procedures due to bilateral cherry eye and macroblepharon. 28.01 the dog underwent surgery for a cyst on the third eye lid and was discharged home without complications. 29.01.25 the dog was presented to the emergency department again due to severe pulsatile bleeding originating from the third eyelid. 31.01. the dog was discharged home after the bleeding was managed. Home Care: The dog was difficult to keep calm despite being given Gapabetin and Trittico. 04.02.25 due to ongoing difficulty with sedation and monitoring the owner brought the dog back to the clinic for better observation and to ensure proper calming.
Medication: Post operative medications: Antibiotic - Cylanic 625 mg, 1 tablet TID for 10 days (starting on 29.01.25), Pain medication: Rimadyl 100 mg 1 tablet + 1 tablet Rimadyl 20 mg together in the morning, Rimadyl 1 tablet 100 mg in the evening for 5 days, starting 30.01.25, Eye Medications for Right Eye: Floxal Eye Ointment 3 times daily until the follow-up, Ciclosporin Eye Drops 2 times daily until follow-up, Ocrygel 2 times daily in the right eye. Cerenia 1 mg/kg IV, Transexamsäure 20 mg/kg IV (diluted); Therapy plan: Gabapentin 300 mg 5 tablet 3x per day for 5 days, Trittico 50 mg 12 tablet 3x/day for 5 days,
Anesthesia: Sedation on 29.01.25 for eye examination/treatment with Medetomidin 0.015 mg/kg IM and Methadon 0.2 mg/kg IV, Intervention on 29.01.25 to remove cystic mass: Premedication with Medetomidin 0.015 mg/kg IM, Methadon 0.2 mg/kg IM, Ketamin 0.5 mg/kg IM, Induction with Ketamin 1 mg/kg IV, Propofol 0.5 mg/kg IV, Antibiotics Ampicillin 30 mg/kg IV, Recovery phase post OP sedation with Dexmedetomidin 0.005 mg/kg IV
Orthopedic exam: -
Neurologic exam: -
Pain type: acute, inflammatory, visceral
Pain origin: eyes
Pain duration: More than 7 days
Estimated pain severity: 49
Species: dog
Breed: Mischling (tricolor)
Sex: m, neutered
Weight: 11.5 kg
Birth date: 2017-04-20 00:00:00
Primary diagnosis: Penile Amputation, Incontinence following penile amputation
Situation: hospitalized
Medical history: The dog is currently in foster care. About a year ago, the dog suffered trauma (was kicked), which led to necrosis of the penis and abdominal wall. As a result, a penile amputation was performed on March 21, 2024. He has since been in various foster homes and has been with the current caretaker since January 26, 2025. The dog assumes the position for urination but no stream is produced, he dribbles constantly, and the diaper is always wet at the time of changing. Ten days ago, the dog had blood in his urine and was treated with Clavaseptin 250 mg BID for 8 days, Inflamac and D-Mannose. On 21.02.25 a revision surgery of a pre-pubis urethrostomy was done. Ultrasound on 20.02.25 showed bilateral chronic nephropathy, with bilateral moderate pyelactasy (right > left), left side renal infarcts, and bilateral mild ureteral distension and ureteropathy. Penis amputation and prepubic urethral stroma, prostata going through the caudoventral abdominal wall.
Medication: 21.02.25 Amoxiclav 30 mg/kg IV TID IV, Meloxicam 0.1 mg/kg IV SID, Ondansetron 0.3 mg/kg TID IV, Methadon 0.2 mg/kg q4h IV, Ketamin 1 mg/kg SC SID, Since 23.02.25 additionally Buprenorphine 0.05 mg/kg IV TID, since 24.02.25 additionally Prazosin 1 Capsule TID, Meloxicam 0.1 mg/kg SID IV Stop at 25.02.25 and additionally beginning with Pro-Kolin 3 ml BID, 26.02.25: Ondansetron 0.3 mg/kg IV BID, Cylanic 20 mg/kg BID PO, Buprenorphin 0.015 mg/kg TID, Prezosin 1 mg/kg TID, Prokolin 3ml TID, Paracetamol 10 mg/kgTID PO
Anesthesia: Intervention at 21.02.25 for Urethrostomy: Premedication with Methadon 0.2 mg/kg IV, Dexmedetomidin 0.004 mg/kg IV, Induction with Ketamin 2 mg/kg IV and Propofol 1 mg/kg IV, Intraoperative Analgesia - Local anesthesia with Ropivacain 1 mg/kg , Antibiotics Ampicillin 30 mg/kg IV
Orthopedic exam: -
Neurologic exam: -
Pain type: acute, inflammatory, neuropathic, visceral
Pain origin: abdomen
Pain duration: More than 7 days
Estimated pain severity: 46
Species: dog
Breed: Pitbull mix
Sex: m, neutered
Weight: 33.1 kg
Birth date: 2019-02-24 00:00:00
Primary diagnosis: Lameness left hind limb
Situation: pre surgery
Medical history: The dog was presented for a follow up consultation due to ongoing lameness six weeks after his TPLO surgery on the left knee. Since the previous visit, the dog had improved. He still exhibited a slight limp, but he was now bearing weight more effectively on his left hind limb. Now the dog came for surgical site revision and arthroscopy with screw replacement and debridement of medial meniscus
Medication: Meloxicam 0.1 mg/kg PO SID, Gabapentin 10 mg/kg PO BID, Trazodon 5 mg/kg PO SID
Anesthesia: Premedication with Methadon 0.2 mg/kg IV, Medetomidin 0.005 mg/kg IV, zusätzlich Methadon 0.1 mg/kg IV, Medetomidin 0.005 mg/kg IV und ACP 0.01 mg/kg, Induction with Propofol 1 mg/kg
Orthopedic exam: His gait was generally good, with a slight limb on the left hind limb (1/5), and he off-loaded the left hind limb when standing still. Palpation of the left hind limb revealed mild pain and growling on palpation, but there was no instability (negative tibial compression test). The right hind limb was not examinable due to stress.
Pain type: acute, inflammatory, orthopedic
Pain origin: hind legs
Pain duration: More than 7 days
Estimated pain severity: 43
Species: dog
Breed: Pitbull mix
Sex: m, neutered
Weight: 33.1 kg
Birth date: 2019-02-25 00:00:00
Primary diagnosis: Lameness left hind limb
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog was presented for a follow up consultation due to ongoing lameness six weeks after his TPLO surgery on the left knee. Since the previous visit, the dog had improved. He still exhibited a slight limp, but he was now bearing weight more effectively on his left hind limb. Now the dog came for surgical site revision and arthroscopy with screw replacement and debridement of medial meniscus
Medication: Meloxicam 0.1 mg/kg PO SID, Gabapentin 10 mg/kg PO BID, Trazodon 5 mg/kg PO SID
Anesthesia: Premedication with Methadon 0.2 mg/kg IV, Medetomidin 0.005 mg/kg IV, zusätzlich Methadon 0.1 mg/kg IV, Medetomidin 0.005 mg/kg IV und ACP 0.01 mg/kg, Induction with Propofol 1 mg/kg
Orthopedic exam: His gait was generally good, with a slight limb on the left hind limb (1/5), and he off-loaded the left hind limb when standing still. Palpation of the left hind limb revealed mild pain and growling on palpation, but there was no instability (negative tibial compression test). The right hind limb was not examinable due to stress.
Neurologic exam: Ongoing lameness after TPLO left knee six weeks ago
Pain type: acute, inflammatory, orthopedic
Pain origin: hind legs
Pain duration: More than 7 days
Estimated pain severity: 56
Species: dog
Breed: Lagotto Romagnolo
Sex: f, neutered
Weight: 13 kg
Birth date: 2015-04-30 00:00:00
Primary diagnosis: Right forelimb lameness
Situation: consultation
Medical history: The dog was presented on February 24, 2025 due to lameness in her right front limb, which started a month ago after slipping on snow. Radiographs of the right shoulder revealed bild biceps tendinopathy, mild osteoarthritis and degenerative changes from C3 to C5. The dog was presented for further evaluation on 4th March 2025 for an MRI examination of the neck and right shoulder was done. Under therapy with Rimadyl 4 mg/kg SID there has been partial improvement, but the dog remains noticeable lame and painful. MRI showed chronic biceps tendinopathy, moderate osteoarthritis of the shoulder, mild brachial muscle atrophy, degenerative disc disease (C3/C4, C4/C5) with mild spinal cord compression, multifocal spondylosis
Medication: Rimadyl 50 mg (4 mg/kg) SID until March, 4th 2025, Treatment of 04.03.25 Injection of Kenacort (corticosteroid) into the biceps tendon, Gabapemtin 100 mg 1,5 capsules TID for 3 weeks, afterwards reduce to 1 capsule BID if side effects like fatigue or ataxia occurs)
Anesthesia: Premedication with Butorphanol 0.2 mg/kg IV, Medetomidin 0.005 mg/kg IV, Induction with Propofol 1 mg/kg IV, Recovery phase Medetomidin 0.001 mg/kg IV
Orthopedic exam: Mild lameness (1/4) at walk and moderate lameness 2/4 at trot. There is a moderate muscle atrophy of the right shoulder, with pain on extension of the front limb and palpation of the triceps.
Neurologic exam: Consciousness and behavior: timid, friendly, normal; Posture: Normal; Attitude and positional reactions: Normal in all four limbs, no significantl delay in the right limb; Cranial Nerves: Normal, no suspicion of Horners Syndrome on the right side; Spinal Reflexes: Normal flexor reflexes on both sides, less force in the proximal part of the right hind limb for the flexor, other reflexed normal; Sensibility: No abnormalities in neck flexion in all directions. On palpation ofnthe caudal cervical spine, mild separation movement noted. A spontaneous cry during abducting and extending the shoulder joint, indicating discomfort. Increased anxiety was observed during shoulder flexion on the right.
Pain type: subacute, chronic, inflammatory, neuropathic, orthopedic
Pain origin: front legs
Pain duration: More than 7 days
Estimated pain severity: 40
Species: dog
Breed: Labrador Retriever
Sex: m, neutered
Weight: 31 kg
Birth date: 2017-06-07 00:00:00
Primary diagnosis: Ileus, Enterotomy because of foreign body in distal ileum
Situation: hospitalized
Medical history: The dog started vomiting on Sunday morning (02.03.25), after which he ate a small amount. He ate grass during a walk and later vomited some of it at midday. He has not vomited or eaten since then. He was crying yesterday, very clingy and slighty painful when touched by the owners. The dog ate a chew bone, but no foreign body ingestion was observed. However, since the dog eats a lot oft of different things, it cannot be ruled out. Since yesterday morning, the dog has been somewhat lethargic but was still responsive. Private vet: Radiographs showed a relatively large foreign body (bone fragment) with gas and fluid dilation of the duodenum, clearly indicating a mechanical ileus caused by the bone fragment. On Feburary 3rd an enterotomy was performed and the foreign body was successfully removed.
Medication: Since 03.03.25 Methadon 0.2 mg/kg IV q4h, Ondansetron 0.3 mg/kg IV TID, Cerenia 1 mg/kg IV SID, 04.03.25 Methadon 0.1 mg/kg IV SID um 9h STOPP, Buprenorphin 0.01 mg/kg IV TID START, for home: Dafalgan 500 mg 1/2 tablet TID for 3 days
Anesthesia: Premedication with Methadon 0.2 mg/kg IV, Medetomidin 0.007 mg/kg IV, Induction with Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV to effect, Analgesia Fentanyl Bolus 0.001 mg/kg IV, Fentanyl CRI 0.1 mg/kg IV, Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV
Orthopedic exam: -
Neurologic exam: -
Pain type: acute, inflammatory, neuropathic, visceral
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 51
Species: dog
Breed: Entlebucher Sennenhund
Sex: f, neutered
Weight: 25.7 kg
Birth date: 2016-09-02 00:00:00
Primary diagnosis: Partial to complete cranial cruciate ligament rupture of the knee
Situation: consultation
Medical history: The dog was presented for evaluation of right rear leg lameness, with suspicion of a cruciate ligament rupture. Since the age of 4, the dog was experiencing rear leg weakness that worsensed after walkies. A CT scan in 2021 revealed no significant finding, but a spinal issue was suspected. With rest and treatment with Librela, the dogs condition improved. Two years ago, the dog was diagnosed with a cruciate ligament rupture in her left rear leg and underwent TPLO from which she recovered well. For the past one and a half years, the dog has been showing lameness in her right rear leg. After walks, she does not bear weight on the leg and avoids using it when going down stairs. Despite shorter walkd and continued use of Librela, which had initially been helpful, there has been no significant improvement. Additionally, pain was noted at the lumbosacral transition. Due to suspected cruciate rupture in the right rear leg, the dog is scheduled for TPLO surgery on March, 26th 2025. Radiography showed moderate joint distention in the right knee joint, moderate osteoarthritis, mild cranial subluxation of the tibia in comparison to the femur, mild thinning of the medial joint surface, mild enthesiophytosis at the first and second tarsal bones.
Medication: Meloxicam 0.1 mg/kg PO SID
Anesthesia: Medication for Sedation: Medetomidin 0.015 mg/kg IM, Butorphanol 0.s mg/kg IM, Ketamin 1 mg/kg IM, Medication for Antagonisierung Atipamezol 0.18 ml IM
Orthopedic exam: Front limbs: Unremarkable, Hind limbs: Mild muscle atrophy on the right side. Mild joint effusion in the right knee. Right drawer test questionable in the awake state, definitely positive under sedation, left side negatuve. Tibial compressin test positive on the right side under sedation, left side negative. Bilateral hip extension unremarkable. Back: Non-reproducible pain in the area of lumbosacral transition
Neurologic exam: -
Pain type: subacute, nociceptive, inflammatory, orthopedic
Pain origin: hind legs
Pain duration: 24 hours to 7 days
Estimated pain severity: 43
Species: dog
Breed: french bulldog
Sex: male, neutered
Weight: 14.5 kg
Birth date: 2015-08-01 00:00:00
Primary diagnosis: multiple mast cell tumors in right shoulder
Situation: pre surgery
Medical history: Had a mast cell tumor on the right shoulder that was removed with narrow margins in March 2024. Already known small heart-base tumor, suspected chemodectoma. (vertebral malformation mid thoracic spine found when verifying the position of the central venous catheter). In the past two weeks (consultation in anicura on the 28.08.2024), Mr. Poltev noticed the appearance of new millimetric cutaneous nodules near the surgical scar of the first mast cell tumor. Otherwise, Zukat was in good general condition.
Medication: On 17.09 and on 18.09.2024 : Cetirizine 10mg PO SID, Omeprazole 1mg/kg PO BID, Cisaprid 0.3 mg/kg PO TID, Gabapentin 10 mg/kg TID. On 19.09.2024 : Omeprazol 1x 10 mg capsule PO BID, cisaprid 4 mg PO TID, cetirizine one 10 mg tablet PO SID, buprenorphine 0.02 mg/kg IV TID, paracetamol 15 mg/kg IV TID. On 20.09.2024 before observation 3 : paracetamol 10 mg/k IV.
Anesthesia: Intervention on 18/09 : Premedication at 13:45 : Methadon 0.2 mg/kg IV, Dexmedetomidine 0.002 mg/kg IV, Acepromazin 0.005 mg/kg IV. Apnea after premedication. Induction : ketamine 1 mg/kg IV. After intubation, Diphenhydramin 2 mg/kg IM was given. Maintenance : FiO2 (55%), isoflurane. 2 boluses of fentanyl 0.005 mg/kg IV, an IV infusion of Fentanyl 0.2 mg/kg/hr, local anesthesia with Ropivacain 1mg/kg (and 3ml total amount). Splash Block on surgical incision before closure. Antibiotics : Ampicillin/Sulbactam 30 mg/kg. Complications : hypotonia, respiratory sinus arrhythmia. Ephedrin bolus 0.1 mg/kg IV was given and Dopamin CRI 2.5 ug/kg/min and 5 ug/kg/min. Wake up phase : bolus methadon 0.2 mg/kg IV and a bolus paracetamol 15 mg/kg IV. Duration of the operation : 125 minutes. Duration of anesthesia : 240 minutes.
Pain type: no pain
Species: dog
Breed: french bulldog
Sex: male, neutered
Weight: 14.5 kg
Birth date: 2015-08-02 00:00:00
Primary diagnosis: multiple mast cell tumors in right shoulder
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Had a mast cell tumor on the right shoulder that was removed with narrow margins in March 2024. Already known small heart-base tumor, suspected chemodectoma. (vertebral malformation mid thoracic spine found when verifying the position of the central venous catheter). In the past two weeks (consultation in anicura on the 28.08.2024), Mr. Poltev noticed the appearance of new millimetric cutaneous nodules near the surgical scar of the first mast cell tumor. Otherwise, Zukat was in good general condition.
Medication: On 17.09 and on 18.09.2024 : Cetirizine 10mg PO SID, Omeprazole 1mg/kg PO BID, Cisaprid 0.3 mg/kg PO TID, Gabapentin 10 mg/kg TID. On 19.09.2024 : Omeprazol 1x 10 mg capsule PO BID, cisaprid 4 mg PO TID, cetirizine one 10 mg tablet PO SID, buprenorphine 0.02 mg/kg IV TID, paracetamol 15 mg/kg IV TID. On 20.09.2024 before observation 3 : paracetamol 10 mg/k IV.
Anesthesia: Intervention on 18/09 : Premedication at 13:45 : Methadon 0.2 mg/kg IV, Dexmedetomidine 0.002 mg/kg IV, Acepromazin 0.005 mg/kg IV. Apnea after premedication. Induction : ketamine 1 mg/kg IV. After intubation, Diphenhydramin 2 mg/kg IM was given. Maintenance : FiO2 (55%), isoflurane. 2 boluses of fentanyl 0.005 mg/kg IV, an IV infusion of Fentanyl 0.2 mg/kg/hr, local anesthesia with Ropivacain 1mg/kg (and 3ml total amount). Splash Block on surgical incision before closure. Antibiotics : Ampicillin/Sulbactam 30 mg/kg. Complications : hypotonia, respiratory sinus arrhythmia. Ephedrin bolus 0.1 mg/kg IV was given and Dopamin CRI 2.5 ug/kg/min and 5 ug/kg/min. Wake up phase : bolus methadon 0.2 mg/kg IV and a bolus paracetamol 15 mg/kg IV. Duration of the operation : 125 minutes. Duration of anesthesia : 240 minutes.
Pain type: acute, inflammatory, somatic
Pain origin: front legs, Tumor excision sites on right shoulder
Estimated pain severity: 20
Species: dog
Breed: french bulldog
Sex: male, neutered
Weight: 14.5 kg
Birth date: 2015-08-03 00:00:00
Primary diagnosis: multiple mast cell tumors in right shoulder
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Had a mast cell tumor on the right shoulder that was removed with narrow margins in March 2024. Already known small heart-base tumor, suspected chemodectoma. (vertebral malformation mid thoracic spine found when verifying the position of the central venous catheter). In the past two weeks (consultation in anicura on the 28.08.2024), Mr. Poltev noticed the appearance of new millimetric cutaneous nodules near the surgical scar of the first mast cell tumor. Otherwise, Zukat was in good general condition.
Medication: On 17.09 and on 18.09.2024 : Cetirizine 10mg PO SID, Omeprazole 1mg/kg PO BID, Cisaprid 0.3 mg/kg PO TID, Gabapentin 10 mg/kg TID. On 19.09.2024 : Omeprazol 1x 10 mg capsule PO BID, cisaprid 4 mg PO TID, cetirizine one 10 mg tablet PO SID, buprenorphine 0.02 mg/kg IV TID, paracetamol 15 mg/kg IV TID. On 20.09.2024 before observation 3 : paracetamol 10 mg/k IV.
Anesthesia: Intervention on 18/09 : Premedication at 13:45 : Methadon 0.2 mg/kg IV, Dexmedetomidine 0.002 mg/kg IV, Acepromazin 0.005 mg/kg IV. Apnea after premedication. Induction : ketamine 1 mg/kg IV. After intubation, Diphenhydramin 2 mg/kg IM was given. Maintenance : FiO2 (55%), isoflurane. 2 boluses of fentanyl 0.005 mg/kg IV, an IV infusion of Fentanyl 0.2 mg/kg/hr, local anesthesia with Ropivacain 1mg/kg (and 3ml total amount). Splash Block on surgical incision before closure. Antibiotics : Ampicillin/Sulbactam 30 mg/kg. Complications : hypotonia, respiratory sinus arrhythmia. Ephedrin bolus 0.1 mg/kg IV was given and Dopamin CRI 2.5 ug/kg/min and 5 ug/kg/min. Wake up phase : bolus methadon 0.2 mg/kg IV and a bolus paracetamol 15 mg/kg IV. Duration of the operation : 125 minutes. Duration of anesthesia : 240 minutes.
Pain type: acute, inflammatory, somatic
Pain origin: front legs, Tumor excision sites on right shoulder
Estimated pain severity: 15
Species: dog
Breed: saluki
Sex: female, not neutered
Weight: 20 kg
Birth date: 2017-04-01 00:00:00
Primary diagnosis: Thyroid tumor on the left, mammary carcinoma. (suspicion of steroid induced hepatopathy)
Situation: pre surgery
Medical history: At the end of August, Mrs. Lachenmeier noticed around Lulu's neck that had grown within a week. Cytologic examination of the mass indicated a thyroid adenoma or carcinoma. At the same time, a biochemical thyroid profile was performed, which revealed an elevated TSH level (2.5 ng/ml; reference range: 0.03-0.5 ng/ml) and a decrease in T4 and FT4. Lulu also receives Impromune. In the last one and a half months, Lulu has also been treated twice with corticosteroids and antibiotics for a bacterial infection of the upper respiratory tract (throat and larynx). Has a heart murmur 3/6 on the left side.
Medication: On 18.09.2024 before intervention : Levothyroxine 10 ug/kg BID, Samylin for a medium breed. After intervention : Buprenorphine 0.02 mg/kg and onsior 2 mg/kg, 2x Trittico 5mg/kg PO, 2x Gabapentin 10 mg/kgm PO. On 19.09.2024 before observation 3 : Buprenorphine 0.02 mg/kg TID, Fortyron 10 ug/kg PO BID, after observation 3 : Onsior 2 mg/kg PO SID, Samylin medium one tablet.
Anesthesia: Intervention on 18/09 : Left thyroidectomy and mammectomy. Premedication at 10:58 : Methadon 0.2 mg/kg IM, Dexmedetomidine 0.005 mg/kg IM. Ketamine 1 mg/kg IV and propofol 1 mg/kg IV for induction. Maintenance : FiO2. TAP Block mit Ropivacain (amount : 4 ml), Epiduralanalgesie mit Morphin (amount : 0.2 ml). Antibiotika : Cefazolin 22mg/kg IV. Post operative : dexmedetomidine 0.002 mg/kg IV for sedation and a bolus buprenorphine 0.02 mg/kg IV. Dysphoric recovery. Duration of intervention : 180 minutes. Duration of anesthesia : 300 minutes.
Pain type: no pain
Estimated pain severity: 0
Species: dog
Breed: saluki
Sex: female, not neutered
Weight: 21 kg
Birth date: 2017-04-02 00:00:00
Primary diagnosis: Thyroid tumor on the left, mammary carcinoma. (suspicion of steroid induced hepatopathy)
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: At the end of August, Mrs. Lachenmeier noticed around Lulu's neck that had grown within a week. Cytologic examination of the mass indicated a thyroid adenoma or carcinoma. At the same time, a biochemical thyroid profile was performed, which revealed an elevated TSH level (2.5 ng/ml; reference range: 0.03-0.5 ng/ml) and a decrease in T4 and FT4. Lulu also receives Impromune. In the last one and a half months, Lulu has also been treated twice with corticosteroids and antibiotics for a bacterial infection of the upper respiratory tract (throat and larynx). Has a heart murmur 3/6 on the left side.
Medication: On 18.09.2024 before intervention : Levothyroxine 10 ug/kg BID, Samylin for a medium breed. After intervention : Buprenorphine 0.02 mg/kg and onsior 2 mg/kg, 2x Trittico 5mg/kg PO, 2x Gabapentin 10 mg/kgm PO. On 19.09.2024 before observation 3 : Buprenorphine 0.02 mg/kg TID, Fortyron 10 ug/kg PO BID, after observation 3 : Onsior 2 mg/kg PO SID, Samylin medium one tablet.
Anesthesia: Intervention on 18/09 : Left thyroidectomy and mammectomy. Premedication at 10:58 : Methadon 0.2 mg/kg IM, Dexmedetomidine 0.005 mg/kg IM. Ketamine 1 mg/kg IV and propofol 1 mg/kg IV for induction. Maintenance : FiO2. TAP Block mit Ropivacain (amount : 4 ml), Epiduralanalgesie mit Morphin (amount : 0.2 ml). Antibiotika : Cefazolin 22mg/kg IV. Post operative : dexmedetomidine 0.002 mg/kg IV for sedation and a bolus buprenorphine 0.02 mg/kg IV. Dysphoric recovery. Duration of intervention : 180 minutes. Duration of anesthesia : 300 minutes.
Pain type: acute, inflammatory, somatic
Pain origin: neck, Thyroid excision site and mammary gland excision site
Estimated pain severity: 26