oliveirabruno01/openfarm-dog-pain huggingface dataset:
Species: dog
Breed: Dachshund
Sex: m, neutered
Weight: 6.8 kg
Birth date: 2017-08-04 00:00:00
Primary diagnosis: Chronic lumbal pain (intervertebral disk disease suspected), Addison, uroabdomen post-cystocentesis
Situation: emergency initial
Medical history: The dog has back problems since two years. It started with reluctance to move, growling when lifted and growling at the partner dog. At the time he also had teeth problems so the owner wasn't sure if it was really a back problem. Because ofhe teeth problems the dog got Metacam and the symptoms got better. Since the beginning of 2024, the pain has worsened massively: Lucifer no longer wants to go for a walk, shows a stiff gait and no longer allows himself to be touched thoracolumbar. The owner sometimes give Metacam for 10 days but the symptoms don't improve much. Massive deterioration since last Friday, now showing neurological deficits (unsteady and stiff gait, tail tone changed, defecation problems, anal sphincter tone appears altered, severe restlessness at night). He has now been under Metacam therapy for 10 days.
Medication: Before presentation: Meloxicam 0.1 mg/kg PO SID (last time the day before). Then (on 27.05, after filming): Methadon 0.2mg/kg IV q4hr, Paracetamol 10 mg/kg IV TID, Pregabalin 4 mg/kg PO BID. 28:05: CRI Glucose first 2.5% then 5% (started after filming), Methadon & Paracetamol & Pregabalin same, Ondansetron 0.3 mg/kg IV TID (started after filming). 29.05: Glucose & Paracetamol & Pregabalin & Ondansetron same, Ampicillin 30 mg/kg IV TID, CRI Hydrocortison 0.6 mg/kg/h (started after filming; evt. first 1x Dexamethason). 30.05: CRI Glucose 2.5%, Paracetamol & Pregabalin & Ondansetron & CRI Hydrocortison & Ampicillin same.
Neurologic exam: Mentation: normal. Posture: normal. Gait: suspected right pelvic limb lameness (very mild). Postural reactions: reduced right pelvic limb proprioception (very mild). Cranial nerves: normal. Spinal reflexes: screamed on right pelvic limb withdrawal- not possible to assess, very agitated and not well assessed left pelvic limb withadral (agressive). Sensibility: painful on right tail manipulation (screamed) and right hip extension, also then painful on left hip extension (but less compared to right). Neuroanatomical localisation: lumbar/lumbosacral?.
Pain type: chronic, nociceptive, somatic
Pain origin: back
Pain duration: more than 7 days
Estimated pain severity: 25
Species: dog
Breed: Dachshund
Sex: m, neutered
Weight: 6.8 kg
Birth date: 2017-08-05 00:00:00
Primary diagnosis: Chronic lumbal pain (intervertebral disk disease suspected), Addison, uroabdomen post-cystocentesis
Situation: hospitalized
Medical history: The dog has back problems since two years. It started with reluctance to move, growling when lifted and growling at the partner dog. At the time he also had teeth problems so the owner wasn't sure if it was really a back problem. Because ofhe teeth problems the dog got Metacam and the symptoms got better. Since the beginning of 2024, the pain has worsened massively: Lucifer no longer wants to go for a walk, shows a stiff gait and no longer allows himself to be touched thoracolumbar. The owner sometimes give Metacam for 10 days but the symptoms don't improve much. Massive deterioration since last Friday, now showing neurological deficits (unsteady and stiff gait, tail tone changed, defecation problems, anal sphincter tone appears altered, severe restlessness at night). He has now been under Metacam therapy for 10 days.
Medication: Before presentation: Meloxicam 0.1 mg/kg PO SID (last time the day before). Then (on 27.05, after filming): Methadon 0.2mg/kg IV q4hr, Paracetamol 10 mg/kg IV TID, Pregabalin 4 mg/kg PO BID. 28:05: CRI Glucose first 2.5% then 5% (started after filming), Methadon & Paracetamol & Pregabalin same, Ondansetron 0.3 mg/kg IV TID (started after filming). 29.05: Glucose & Paracetamol & Pregabalin & Ondansetron same, Ampicillin 30 mg/kg IV TID, CRI Hydrocortison 0.6 mg/kg/h (started after filming; evt. first 1x Dexamethason). 30.05: CRI Glucose 2.5%, Paracetamol & Pregabalin & Ondansetron & CRI Hydrocortison & Ampicillin same.
Neurologic exam: Mentation: normal. Posture: normal. Gait: suspected right pelvic limb lameness (very mild). Postural reactions: reduced right pelvic limb proprioception (very mild). Cranial nerves: normal. Spinal reflexes: screamed on right pelvic limb withdrawal- not possible to assess, very agitated and not well assessed left pelvic limb withadral (agressive). Sensibility: painful on right tail manipulation (screamed) and right hip extension, also then painful on left hip extension (but less compared to right). Neuroanatomical localisation: lumbar/lumbosacral?.
Pain type: chronic, nociceptive, somatic
Pain origin: back
Pain duration: more than 7 days
Estimated pain severity: 15
Species: dog
Breed: Dachshund
Sex: m, neutered
Weight: 6.8 kg
Birth date: 2017-08-06 00:00:00
Primary diagnosis: Chronic lumbal pain (intervertebral disk disease suspected), Addison, uroabdomen post-cystocentesis
Situation: hospitalized
Medical history: The dog has back problems since two years. It started with reluctance to move, growling when lifted and growling at the partner dog. At the time he also had teeth problems so the owner wasn't sure if it was really a back problem. Because ofhe teeth problems the dog got Metacam and the symptoms got better. Since the beginning of 2024, the pain has worsened massively: Lucifer no longer wants to go for a walk, shows a stiff gait and no longer allows himself to be touched thoracolumbar. The owner sometimes give Metacam for 10 days but the symptoms don't improve much. Massive deterioration since last Friday, now showing neurological deficits (unsteady and stiff gait, tail tone changed, defecation problems, anal sphincter tone appears altered, severe restlessness at night). He has now been under Metacam therapy for 10 days.
Medication: Before presentation: Meloxicam 0.1 mg/kg PO SID (last time the day before). Then (on 27.05, after filming): Methadon 0.2mg/kg IV q4hr, Paracetamol 10 mg/kg IV TID, Pregabalin 4 mg/kg PO BID. 28:05: CRI Glucose first 2.5% then 5% (started after filming), Methadon & Paracetamol & Pregabalin same, Ondansetron 0.3 mg/kg IV TID (started after filming). 29.05: Glucose & Paracetamol & Pregabalin & Ondansetron same, Ampicillin 30 mg/kg IV TID, CRI Hydrocortison 0.6 mg/kg/h (started after filming; evt. first 1x Dexamethason). 30.05: CRI Glucose 2.5%, Paracetamol & Pregabalin & Ondansetron & CRI Hydrocortison & Ampicillin same.
Neurologic exam: Mentation: normal. Posture: normal. Gait: suspected right pelvic limb lameness (very mild). Postural reactions: reduced right pelvic limb proprioception (very mild). Cranial nerves: normal. Spinal reflexes: screamed on right pelvic limb withdrawal- not possible to assess, very agitated and not well assessed left pelvic limb withadral (agressive). Sensibility: painful on right tail manipulation (screamed) and right hip extension, also then painful on left hip extension (but less compared to right). Neuroanatomical localisation: lumbar/lumbosacral?.
Pain type: chronic, nociceptive, somatic
Pain origin: back
Pain duration: more than 7 days
Estimated pain severity: 15
Species: dog
Breed: Whippet
Sex: f, not neutered (neutered during surgery)
Weight: 3.9 kg
Birth date: 2022-02-01 00:00:00
Primary diagnosis: Bitch castration & atrophic non-union of the left ulna
Situation: pre surgery
Medical history: The dog had a fracture of the Radius/Ulna left, she had an operation on the 27.11.2023. She then had an atrophic non-union of the left ulna and she had an operation on the 09.02.2024. Mia was presented to us on the 28.05.2024 for a consultation and follow-up x-rays 12 weeks after removal of the last screws stabilising the Radius/Ulna fracture treated on 27.11.2023, as well as for an ovariectomy. Since her last check-up on 02.04.24, Mia has been doing well, is very active and does not limp. She is loading her left front limb adequately. She shows no signs of pain.
Medication: No medication before presentation/surgery. After surgery: 1x Carprofen 4 mg/kg IV, 1x Buprenorphine 0.02 mg/kg IV
Anesthesia: Intervention on 28.05.2024: X-Rays, ovariectomy. Premedication at 10:15: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM, Acepromazine 0.005 IM. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia TAP Ropivacain 1 ml (0.25 ml/kg). Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia caused by hypothermia. Wake up phase: Bolus Buprenorphine 0.02 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 50 min. Anaesthesia duration: 210 min.
Pain type: no pain
Estimated pain severity: 0
Species: dog
Breed: Whippet
Sex: f, not neutered (neutered during surgery)
Weight: 3.9 kg
Birth date: 2022-02-02 00:00:00
Primary diagnosis: Bitch castration & atrophic non-union of the left ulna
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: no
Medical history: The dog had a fracture of the Radius/Ulna left, she had an operation on the 27.11.2023. She then had an atrophic non-union of the left ulna and she had an operation on the 09.02.2024. Mia was presented to us on the 28.05.2024 for a consultation and follow-up x-rays 12 weeks after removal of the last screws stabilising the Radius/Ulna fracture treated on 27.11.2023, as well as for an ovariectomy. Since her last check-up on 02.04.24, Mia has been doing well, is very active and does not limp. She is loading her left front limb adequately. She shows no signs of pain.
Medication: No medication before presentation/surgery. After surgery: 1x Carprofen 4 mg/kg IV, 1x Buprenorphine 0.02 mg/kg IV
Anesthesia: Intervention on 28.05.2024: X-Rays, ovariectomy. Premedication at 10:15: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM, Acepromazine 0.005 IM. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia TAP Ropivacain 1 ml (0.25 ml/kg). Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia caused by hypothermia. Wake up phase: Bolus Buprenorphine 0.02 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 50 min. Anaesthesia duration: 210 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: Abdomen
Estimated pain severity: 20
Species: dog
Breed: Whippet
Sex: f, not neutered (neutered during surgery)
Weight: 3.9 kg
Birth date: 2022-02-03 00:00:00
Primary diagnosis: Bitch castration & atrophic non-union of the left ulna
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: no
Medical history: The dog had a fracture of the Radius/Ulna left, she had an operation on the 27.11.2023. She then had an atrophic non-union of the left ulna and she had an operation on the 09.02.2024. Mia was presented to us on the 28.05.2024 for a consultation and follow-up x-rays 12 weeks after removal of the last screws stabilising the Radius/Ulna fracture treated on 27.11.2023, as well as for an ovariectomy. Since her last check-up on 02.04.24, Mia has been doing well, is very active and does not limp. She is loading her left front limb adequately. She shows no signs of pain.
Medication: No medication before presentation/surgery. After surgery: 1x Carprofen 4 mg/kg IV, 1x Buprenorphine 0.02 mg/kg IV
Anesthesia: Intervention on 28.05.2024: X-Rays, ovariectomy. Premedication at 10:15: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM, Acepromazine 0.005 IM. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia TAP Ropivacain 1 ml (0.25 ml/kg). Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia caused by hypothermia. Wake up phase: Bolus Buprenorphine 0.02 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 50 min. Anaesthesia duration: 210 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: Abdomen
Estimated pain severity: 20
Species: dog
Breed: Cairn Terrier
Sex: f, neutered
Weight: 10.4 kg
Birth date: 2014-04-01 00:00:00
Primary diagnosis: Cruciate ligament rupture & patella luxation left, mammary tumor left
Situation: pre surgery
Medical history: The dog was already operated because of cruciate ligament rupture and patellar luxation on the right a month ago (29.04). She now has the same problem on the left side, she has been under Robenacoxib for 10 days. The dog also has a node in the area of the caudal mamma complexes. She came for x-rays to plan the surgery and then the day after for the surgery (29.05). On the 31.07 Sissi came back for a mastectomy on the left.
Medication: Before presentation: Robenacoxib 1.9 mg/kg PO SID. Before surgery (29.05): Gabapentin (the owner gave it). Directly after surgery: Methadone 0.2 mg/kg IV, Meloxixam 0.2 mg/kg. Then Methadone 0.2mg/kg IV q4, Onsior 2mg/kg PO / IV SID, Gabapentin 10mg/kg if needed, Ampicillin 30 mg/kg IV TID. 30.05: Buprenorphine 0.02 mg/kg IV TID, Onsior 2 mg/kg PO / IV SID, Ampicillin Sulbactam 30 mg/kg IV TID, Ondansetron 0.3 mg/kg IV TID, Maropitant 1 mg/kg IV SID. Before observation 6: Gabapentin 30 mg/kg the evening before and morning of the surgery, Trazodon 5 mg/kg the evening before and the morning of the surgery. After surgery: nothing given before filming observations 7 and 8.
Anesthesia: Intervention on 29.05: Arthrotomy + TPLO left. Premedication at 08:49: 0.2 mg/kg IM, Acepromazin 0.01 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintennce FiO2, Isofluran. Analgesia: Bolus Methadon 0.2 mg/kg IV, Local anaesthesia Ropivacain 1.52 ml Femoralis / Ischiadicus block (0.05 ml/kg = 0.52 ml Ischiadicus, 0.1 ml/kg = 1 ml Femoralis). Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Wake up phase: Bolus Methadon 0.2 mg/kg IV, Bolus Metacam 0.2 mg/kg IV. Intervention duration: 140 min. Anaesthesia duration: 265 min. Intervention on 31.07: radical mastectomy left. Premedication at 09:30: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 0.5 mg/kg IV. Maintenance: FiO2, Isofluran, Sevofluran. Analgesia: IV Infusion Lidocain 1.8 mg/kg/h (60 min), IV Infusion Fentanyl 0.005 mg/kg/h (60 min), local anaesthesia splash block 2 mg/kg Bupivacain before closing the wound. Antibiotics: Cefazolin 22 mg/kg IV. Complications: hypotension, hypercapnia -> RA Bolus 10 mg/kg, PCV (pressure controlled ventilation). Wake up phase: a pain catheter was put into the wound and filled with Ropivacain -> Ropivacain 2 ml q8h. Intervention duration: 60 min. Anaesthesia duration: 210 min.
Orthopedic exam: Gait: supporting leg lameness left hindlimb degree 2/5 (with Robenacoxib). Specific palpation: medial patellar luxation left hindlimb degree 2, left stifle joint swollen, painful at palpation and unstable (tibial compression test positive).
Pain type: no pain
Pain origin: no pain
Estimated pain severity: 0
Species: dog
Breed: Cairn Terrier
Sex: f, neutered
Weight: 10.4 kg
Birth date: 2014-04-02 00:00:00
Primary diagnosis: Cruciate ligament rupture & patella luxation left, mammary tumor left
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: mild sedation (1)
Medical history: The dog was already operated because of cruciate ligament rupture and patellar luxation on the right a month ago (29.04). She now has the same problem on the left side, she has been under Robenacoxib for 10 days. The dog also has a node in the area of the caudal mamma complexes. She came for x-rays to plan the surgery and then the day after for the surgery (29.05). On the 31.07 Sissi came back for a mastectomy on the left.
Medication: Before presentation: Robenacoxib 1.9 mg/kg PO SID. Before surgery (29.05): Gabapentin (the owner gave it). Directly after surgery: Methadone 0.2 mg/kg IV, Meloxixam 0.2 mg/kg. Then Methadone 0.2mg/kg IV q4, Onsior 2mg/kg PO / IV SID, Gabapentin 10mg/kg if needed, Ampicillin 30 mg/kg IV TID. 30.05: Buprenorphine 0.02 mg/kg IV TID, Onsior 2 mg/kg PO / IV SID, Ampicillin Sulbactam 30 mg/kg IV TID, Ondansetron 0.3 mg/kg IV TID, Maropitant 1 mg/kg IV SID. Before observation 6: Gabapentin 30 mg/kg the evening before and morning of the surgery, Trazodon 5 mg/kg the evening before and the morning of the surgery. After surgery: nothing given before filming observations 7 and 8.
Anesthesia: Intervention on 29.05: Arthrotomy + TPLO left. Premedication at 08:49: 0.2 mg/kg IM, Acepromazin 0.01 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintennce FiO2, Isofluran. Analgesia: Bolus Methadon 0.2 mg/kg IV, Local anaesthesia Ropivacain 1.52 ml Femoralis / Ischiadicus block (0.05 ml/kg = 0.52 ml Ischiadicus, 0.1 ml/kg = 1 ml Femoralis). Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Wake up phase: Bolus Methadon 0.2 mg/kg IV, Bolus Metacam 0.2 mg/kg IV. Intervention duration: 140 min. Anaesthesia duration: 265 min. Intervention on 31.07: radical mastectomy left. Premedication at 09:30: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 0.5 mg/kg IV. Maintenance: FiO2, Isofluran, Sevofluran. Analgesia: IV Infusion Lidocain 1.8 mg/kg/h (60 min), IV Infusion Fentanyl 0.005 mg/kg/h (60 min), local anaesthesia splash block 2 mg/kg Bupivacain before closing the wound. Antibiotics: Cefazolin 22 mg/kg IV. Complications: hypotension, hypercapnia -> RA Bolus 10 mg/kg, PCV (pressure controlled ventilation). Wake up phase: a pain catheter was put into the wound and filled with Ropivacain -> Ropivacain 2 ml q8h. Intervention duration: 60 min. Anaesthesia duration: 210 min.
Orthopedic exam: Gait: supporting leg lameness left hindlimb degree 2/5 (with Robenacoxib). Specific palpation: medial patellar luxation left hindlimb degree 2, left stifle joint swollen, painful at palpation and unstable (tibial compression test positive).
Pain type: acute, nociceptive, somatic
Pain origin: Nose, soft palate, larynx
Estimated pain severity: 15
Species: dog
Breed: Cairn Terrier
Sex: f, neutered
Weight: 10.4 kg
Birth date: 2014-04-04 00:00:00
Primary diagnosis: Cruciate ligament rupture & patella luxation left, mammary tumor left
Situation: pre surgery
Medical history: The dog was already operated because of cruciate ligament rupture and patellar luxation on the right a month ago (29.04). She now has the same problem on the left side, she has been under Robenacoxib for 10 days. The dog also has a node in the area of the caudal mamma complexes. She came for x-rays to plan the surgery and then the day after for the surgery (29.05). On the 31.07 Sissi came back for a mastectomy on the left.
Medication: Before presentation: Robenacoxib 1.9 mg/kg PO SID. Before surgery (29.05): Gabapentin (the owner gave it). Directly after surgery: Methadone 0.2 mg/kg IV, Meloxixam 0.2 mg/kg. Then Methadone 0.2mg/kg IV q4, Onsior 2mg/kg PO / IV SID, Gabapentin 10mg/kg if needed, Ampicillin 30 mg/kg IV TID. 30.05: Buprenorphine 0.02 mg/kg IV TID, Onsior 2 mg/kg PO / IV SID, Ampicillin Sulbactam 30 mg/kg IV TID, Ondansetron 0.3 mg/kg IV TID, Maropitant 1 mg/kg IV SID. Before observation 6: Gabapentin 30 mg/kg the evening before and morning of the surgery, Trazodon 5 mg/kg the evening before and the morning of the surgery. After surgery: nothing given before filming observations 7 and 8.
Anesthesia: Intervention on 29.05: Arthrotomy + TPLO left. Premedication at 08:49: 0.2 mg/kg IM, Acepromazin 0.01 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintennce FiO2, Isofluran. Analgesia: Bolus Methadon 0.2 mg/kg IV, Local anaesthesia Ropivacain 1.52 ml Femoralis / Ischiadicus block (0.05 ml/kg = 0.52 ml Ischiadicus, 0.1 ml/kg = 1 ml Femoralis). Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Wake up phase: Bolus Methadon 0.2 mg/kg IV, Bolus Metacam 0.2 mg/kg IV. Intervention duration: 140 min. Anaesthesia duration: 265 min. Intervention on 31.07: radical mastectomy left. Premedication at 09:30: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 0.5 mg/kg IV. Maintenance: FiO2, Isofluran, Sevofluran. Analgesia: IV Infusion Lidocain 1.8 mg/kg/h (60 min), IV Infusion Fentanyl 0.005 mg/kg/h (60 min), local anaesthesia splash block 2 mg/kg Bupivacain before closing the wound. Antibiotics: Cefazolin 22 mg/kg IV. Complications: hypotension, hypercapnia -> RA Bolus 10 mg/kg, PCV (pressure controlled ventilation). Wake up phase: a pain catheter was put into the wound and filled with Ropivacain -> Ropivacain 2 ml q8h. Intervention duration: 60 min. Anaesthesia duration: 210 min.
Orthopedic exam: Gait: supporting leg lameness left hindlimb degree 2/5 (with Robenacoxib). Specific palpation: medial patellar luxation left hindlimb degree 2, left stifle joint swollen, painful at palpation and unstable (tibial compression test positive).
Pain type: no pain
Species: dog
Breed: Cairn Terrier
Sex: f, neutered
Weight: 10.4 kg
Birth date: 2014-04-05 00:00:00
Primary diagnosis: Cruciate ligament rupture & patella luxation left, mammary tumor left
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: moderate sedation (2)
Medical history: The dog was already operated because of cruciate ligament rupture and patellar luxation on the right a month ago (29.04). She now has the same problem on the left side, she has been under Robenacoxib for 10 days. The dog also has a node in the area of the caudal mamma complexes. She came for x-rays to plan the surgery and then the day after for the surgery (29.05). On the 31.07 Sissi came back for a mastectomy on the left.
Medication: Before presentation: Robenacoxib 1.9 mg/kg PO SID. Before surgery (29.05): Gabapentin (the owner gave it). Directly after surgery: Methadone 0.2 mg/kg IV, Meloxixam 0.2 mg/kg. Then Methadone 0.2mg/kg IV q4, Onsior 2mg/kg PO / IV SID, Gabapentin 10mg/kg if needed, Ampicillin 30 mg/kg IV TID. 30.05: Buprenorphine 0.02 mg/kg IV TID, Onsior 2 mg/kg PO / IV SID, Ampicillin Sulbactam 30 mg/kg IV TID, Ondansetron 0.3 mg/kg IV TID, Maropitant 1 mg/kg IV SID. Before observation 6: Gabapentin 30 mg/kg the evening before and morning of the surgery, Trazodon 5 mg/kg the evening before and the morning of the surgery. After surgery: nothing given before filming observations 7 and 8.
Anesthesia: Intervention on 29.05: Arthrotomy + TPLO left. Premedication at 08:49: 0.2 mg/kg IM, Acepromazin 0.01 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintennce FiO2, Isofluran. Analgesia: Bolus Methadon 0.2 mg/kg IV, Local anaesthesia Ropivacain 1.52 ml Femoralis / Ischiadicus block (0.05 ml/kg = 0.52 ml Ischiadicus, 0.1 ml/kg = 1 ml Femoralis). Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Wake up phase: Bolus Methadon 0.2 mg/kg IV, Bolus Metacam 0.2 mg/kg IV. Intervention duration: 140 min. Anaesthesia duration: 265 min. Intervention on 31.07: radical mastectomy left. Premedication at 09:30: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 0.5 mg/kg IV. Maintenance: FiO2, Isofluran, Sevofluran. Analgesia: IV Infusion Lidocain 1.8 mg/kg/h (60 min), IV Infusion Fentanyl 0.005 mg/kg/h (60 min), local anaesthesia splash block 2 mg/kg Bupivacain before closing the wound. Antibiotics: Cefazolin 22 mg/kg IV. Complications: hypotension, hypercapnia -> RA Bolus 10 mg/kg, PCV (pressure controlled ventilation). Wake up phase: a pain catheter was put into the wound and filled with Ropivacain -> Ropivacain 2 ml q8h. Intervention duration: 60 min. Anaesthesia duration: 210 min.
Orthopedic exam: Gait: supporting leg lameness left hindlimb degree 2/5 (with Robenacoxib). Specific palpation: medial patellar luxation left hindlimb degree 2, left stifle joint swollen, painful at palpation and unstable (tibial compression test positive).
Pain type: acute, inflammatory, somatic
Pain origin: Mastectomy site left
Estimated pain severity: 15
Species: dog
Breed: Cairn Terrier
Sex: f, neutered
Weight: 10.4 kg
Birth date: 2014-04-06 00:00:00
Primary diagnosis: Cruciate ligament rupture & patella luxation left, mammary tumor left
Situation: post surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: mild sedation (1)
Medical history: The dog was already operated because of cruciate ligament rupture and patellar luxation on the right a month ago (29.04). She now has the same problem on the left side, she has been under Robenacoxib for 10 days. The dog also has a node in the area of the caudal mamma complexes. She came for x-rays to plan the surgery and then the day after for the surgery (29.05). On the 31.07 Sissi came back for a mastectomy on the left.
Medication: Before presentation: Robenacoxib 1.9 mg/kg PO SID. Before surgery (29.05): Gabapentin (the owner gave it). Directly after surgery: Methadone 0.2 mg/kg IV, Meloxixam 0.2 mg/kg. Then Methadone 0.2mg/kg IV q4, Onsior 2mg/kg PO / IV SID, Gabapentin 10mg/kg if needed, Ampicillin 30 mg/kg IV TID. 30.05: Buprenorphine 0.02 mg/kg IV TID, Onsior 2 mg/kg PO / IV SID, Ampicillin Sulbactam 30 mg/kg IV TID, Ondansetron 0.3 mg/kg IV TID, Maropitant 1 mg/kg IV SID. Before observation 6: Gabapentin 30 mg/kg the evening before and morning of the surgery, Trazodon 5 mg/kg the evening before and the morning of the surgery. After surgery: nothing given before filming observations 7 and 8.
Anesthesia: Intervention on 29.05: Arthrotomy + TPLO left. Premedication at 08:49: 0.2 mg/kg IM, Acepromazin 0.01 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintennce FiO2, Isofluran. Analgesia: Bolus Methadon 0.2 mg/kg IV, Local anaesthesia Ropivacain 1.52 ml Femoralis / Ischiadicus block (0.05 ml/kg = 0.52 ml Ischiadicus, 0.1 ml/kg = 1 ml Femoralis). Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Wake up phase: Bolus Methadon 0.2 mg/kg IV, Bolus Metacam 0.2 mg/kg IV. Intervention duration: 140 min. Anaesthesia duration: 265 min. Intervention on 31.07: radical mastectomy left. Premedication at 09:30: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 0.5 mg/kg IV. Maintenance: FiO2, Isofluran, Sevofluran. Analgesia: IV Infusion Lidocain 1.8 mg/kg/h (60 min), IV Infusion Fentanyl 0.005 mg/kg/h (60 min), local anaesthesia splash block 2 mg/kg Bupivacain before closing the wound. Antibiotics: Cefazolin 22 mg/kg IV. Complications: hypotension, hypercapnia -> RA Bolus 10 mg/kg, PCV (pressure controlled ventilation). Wake up phase: a pain catheter was put into the wound and filled with Ropivacain -> Ropivacain 2 ml q8h. Intervention duration: 60 min. Anaesthesia duration: 210 min.
Orthopedic exam: Gait: supporting leg lameness left hindlimb degree 2/5 (with Robenacoxib). Specific palpation: medial patellar luxation left hindlimb degree 2, left stifle joint swollen, painful at palpation and unstable (tibial compression test positive).
Pain type: acute, inflammatory, somatic
Pain origin: Mastectomy site left
Estimated pain severity: 30
Species: dog
Breed: American Bulldog
Sex: f, neutered
Weight: 35 kg
Birth date: 2020-04-11 00:00:00
Primary diagnosis: Partial tear of insertion of biceps tendon with mild focal myopathy and mild joint distention
Situation: consultation first
Medical history: She already went lame on the right forelimb 2 years ago after playing with a dog. In january she had e fight with another dog, after that she didn't put down the paw anymore. Orthopedic exam: pain on flexion of the right shoulder, positive biceps test, slight muscle atrophy on the right. Therapy with Carprofen (1 week) and movement restriction (2-3 weeks) was started. It didn't get better, so they made an ultrasound and infiltrated the biceps tendon sheath and supraspinatus with Kenacort on the 20th of february. It got better after that, once warmed up the lameness couldn't be seen anymore (end of march). The dog was referred to the clinic for an MRI. MRI report: Partial tear of the insertion of the biceps tendon. Mild focal myopathy at the musculotendinous junction. Mild joint distention. An injection of the right shoulder with autologous conditioned plasma was performed after MRI.
Medication: No clear information
Orthopedic exam: No information from the clinic. Orthopedic exam private vet 04.01.2024: Gait: lameness of right thoracic limb. Orientating palpation: slight muscle atrophy on right side. Specific palpation: pain on flexion of right shoulder, positive biceps test.
Pain type: chronic, orthopedic, somatic
Pain origin: front legs
Pain duration: more than 7 days
Estimated pain severity: 35
Species: dog
Breed: Golden Retriever
Sex: m, not neutered
Weight: 24 kg
Birth date: 2016-06-06 00:00:00
Primary diagnosis: Pericarditis with tricavitary effusion
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: no sedation (0)
Medical history: Elvis has been intolerant to performance for 4 days (since tuesday 21 May), seems more tired and has an enlarged abdomen. He has also had episodes of vomiting and diarrhoea since Thursday 23.05. The private vet made an ultrasound and saw abdominal effusion. He was presented to the clinic on the 25.05, where tricavitary effusion was found. This was secudary to pericardial effusion (because of pericarditis). Cardiology report 25.05: advanced dilated cardiomyopathy with secondary mitral and truspid valve insufficiency and right ventricular decompensation. Cardiology report 28.05: almost certain constrictive effusive pericarditis (or mesothelioma). On the 28th of May an intercostal thoracotomy and a subtotal pericardectomy (ligasure) were performed. Now it's 2 days after the surgery.
Medication: Meloxicam 0.1 m g/kg IV SID, Ondansetron 0.3mg/kg IV TID, Buprenorphine 0.01 mg/kg IV QID
Anesthesia: Intervention on 28.05: lateral thoracotomy with pericardectomy. Premedication: Methadon 0.2 mg/kg. Induction: Midazolam 0.2 mg/kg IV, Etomidate 0.8 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Fentanyl CRI 0.01 mg/kg/h IV, Lidocain CRI 0.05 mg/kg/h IV, Local anaesthesia infiltration Ropivacain 2 mg/kg. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: arrhythmia (while cauterizing directly at the heart, the dog showed extrasystoles and an AV-block, but it resolved itself. during the closing of the thorax the dog shortly showed ventilation problems, after suctioning the drain it was good again). Wake up phase: postoperative sedation Acepromazine 0.01 mg/kg IV, postoperative analgesia Fentanyl CRI 0.005 mg/kg, Bolus Meloxicam 0.1 mg/kg IV. Intervention duration: 140 min. Anaesthesia duration: 240 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: thorax
Estimated pain severity: 10
Species: dog
Breed: American Staffordshire Terrier
Sex: m, not neutered (neutered during surgery)
Weight: 24 kg
Birth date: 2014-01-01 00:00:00
Primary diagnosis: Chronic prostatitis and cystitis with paraprostatic cyst, bladder urolith, left testicle mineralisations
Situation: pre surgery
Medical history: The dog was presented 2 weeks ago with a history of hematuria since a year. A severe chronic bacterial prostatitis and cystitis with infected paraprostatic cyst were diagnosed. They also diagnosed a bladder urolith, probably struvit. Ultrasound report: severe zystitis and urethritis, single large zystolith and high amount of sedimenting and non-sedimenting corpusculesin the urine, moderate patchy and cavernous prostatopathy, several mineralisations in left testicle. He was sent home under therapy with: marbocyl, meloxicam and ypozane. The dog came yesterday for an ultrasound control -> report: unchanged moderate to marked cavernous prostatopathy, unchanged severe cystitis, and single large cystolith, mild to moderate medial and internal iliac lymphadenomegaly, several mineralisations in left testicle. Today he is getting a cystotomy, omentalisation of the paraprostatic cyst and castration.
Medication: Before presentation: Meloxicam for 24 kg PO SID, Marbocyl 3.3 mg/kg PO SID. Directly after surgery: 1x Methadon 0.2 mg/kg IV, 1x Meloxicam 0.1 mg/kg IV, 1x Marbocyl 4 mg/kg IV, 1x Maropitant 1 mg/kg IV, 1x Ondansetron 0.3 mg/kg IV. 03.06 (3 days after surgery): Buprenoprhin 0.01 mg/kg IV TID, Meloxicam 0.1mg/kg IV SID, Marbocyl 4 mg/kg IV SID, Ondansetron 0.3 mg/kg IV BID, Gabapentin 5 mg/kg PO BID, 1x Trazodone 3.8 mg/kg PO (ca. 2 hours before filming).
Anesthesia: Intervention on 31.05: cystotomy, omentalisation paraprostatic cyst and castration. Premedication: Dexmedetomidin 0.002 mg/kg IM, Methadon 0.2 mg/kg IM. Induction: Propofol 1 mg/kg IV, Midazolam 0.2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 2x Bolus Fentanyl. IV Infusion Fentanyl 0.005 mg/kg/h, IV Infusion Lidocain 3 mg/kg/h, local anaesthesia QLB Ropivacain 2.5 mg/kg and intratescular Lidocain 2 mg/kg. Antibiotics: already on Marbofloxacin 4 mg/kg PO SID. Complications: dysporia in recovery -> Acepromazine. Wake up phase: postoperative sedation Acepromazine 0.005 mg/kg IV and Medetomidin 0.001 mg/kg IV. Intervention duration: 200 min. Anaesthesia duration: 280 min.
Pain type: no pain
Pain origin: no pain
Species: dog
Breed: American Staffordshire Terrier
Sex: m, not neutered (neutered during surgery)
Weight: 25 kg
Birth date: 2014-01-02 00:00:00
Primary diagnosis: Chronic prostatitis and cystitis with paraprostatic cyst, bladder urolith, left testicle mineralisations
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: mild sedation (1)
Medical history: The dog was presented 2 weeks ago with a history of hematuria since a year. A severe chronic bacterial prostatitis and cystitis with infected paraprostatic cyst were diagnosed. They also diagnosed a bladder urolith, probably struvit. Ultrasound report: severe zystitis and urethritis, single large zystolith and high amount of sedimenting and non-sedimenting corpusculesin the urine, moderate patchy and cavernous prostatopathy, several mineralisations in left testicle. He was sent home under therapy with: marbocyl, meloxicam and ypozane. The dog came yesterday for an ultrasound control -> report: unchanged moderate to marked cavernous prostatopathy, unchanged severe cystitis, and single large cystolith, mild to moderate medial and internal iliac lymphadenomegaly, several mineralisations in left testicle. Today he is getting a cystotomy, omentalisation of the paraprostatic cyst and castration.
Medication: Before presentation: Meloxicam for 24 kg PO SID, Marbocyl 3.3 mg/kg PO SID. Directly after surgery: 1x Methadon 0.2 mg/kg IV, 1x Meloxicam 0.1 mg/kg IV, 1x Marbocyl 4 mg/kg IV, 1x Maropitant 1 mg/kg IV, 1x Ondansetron 0.3 mg/kg IV. 03.06 (3 days after surgery): Buprenoprhin 0.01 mg/kg IV TID, Meloxicam 0.1mg/kg IV SID, Marbocyl 4 mg/kg IV SID, Ondansetron 0.3 mg/kg IV BID, Gabapentin 5 mg/kg PO BID, 1x Trazodone 3.8 mg/kg PO (ca. 2 hours before filming).
Anesthesia: Intervention on 31.05: cystotomy, omentalisation paraprostatic cyst and castration. Premedication: Dexmedetomidin 0.002 mg/kg IM, Methadon 0.2 mg/kg IM. Induction: Propofol 1 mg/kg IV, Midazolam 0.2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 2x Bolus Fentanyl. IV Infusion Fentanyl 0.005 mg/kg/h, IV Infusion Lidocain 3 mg/kg/h, local anaesthesia QLB Ropivacain 2.5 mg/kg and intratescular Lidocain 2 mg/kg. Antibiotics: already on Marbofloxacin 4 mg/kg PO SID. Complications: dysporia in recovery -> Acepromazine. Wake up phase: postoperative sedation Acepromazine 0.005 mg/kg IV and Medetomidin 0.001 mg/kg IV. Intervention duration: 200 min. Anaesthesia duration: 280 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen, Retroperitoneal (prostate), castration site
Estimated pain severity: 35
Species: dog
Breed: American Staffordshire Terrier
Sex: m, not neutered (neutered during surgery)
Weight: 26 kg
Birth date: 2014-01-03 00:00:00
Primary diagnosis: Chronic prostatitis and cystitis with paraprostatic cyst, bladder urolith, left testicle mineralisations
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: no sedation (0)
Medical history: The dog was presented 2 weeks ago with a history of hematuria since a year. A severe chronic bacterial prostatitis and cystitis with infected paraprostatic cyst were diagnosed. They also diagnosed a bladder urolith, probably struvit. Ultrasound report: severe zystitis and urethritis, single large zystolith and high amount of sedimenting and non-sedimenting corpusculesin the urine, moderate patchy and cavernous prostatopathy, several mineralisations in left testicle. He was sent home under therapy with: marbocyl, meloxicam and ypozane. The dog came yesterday for an ultrasound control -> report: unchanged moderate to marked cavernous prostatopathy, unchanged severe cystitis, and single large cystolith, mild to moderate medial and internal iliac lymphadenomegaly, several mineralisations in left testicle. Today he is getting a cystotomy, omentalisation of the paraprostatic cyst and castration.
Medication: Before presentation: Meloxicam for 24 kg PO SID, Marbocyl 3.3 mg/kg PO SID. Directly after surgery: 1x Methadon 0.2 mg/kg IV, 1x Meloxicam 0.1 mg/kg IV, 1x Marbocyl 4 mg/kg IV, 1x Maropitant 1 mg/kg IV, 1x Ondansetron 0.3 mg/kg IV. 03.06 (3 days after surgery): Buprenoprhin 0.01 mg/kg IV TID, Meloxicam 0.1mg/kg IV SID, Marbocyl 4 mg/kg IV SID, Ondansetron 0.3 mg/kg IV BID, Gabapentin 5 mg/kg PO BID, 1x Trazodone 3.8 mg/kg PO (ca. 2 hours before filming).
Anesthesia: Intervention on 31.05: cystotomy, omentalisation paraprostatic cyst and castration. Premedication: Dexmedetomidin 0.002 mg/kg IM, Methadon 0.2 mg/kg IM. Induction: Propofol 1 mg/kg IV, Midazolam 0.2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 2x Bolus Fentanyl. IV Infusion Fentanyl 0.005 mg/kg/h, IV Infusion Lidocain 3 mg/kg/h, local anaesthesia QLB Ropivacain 2.5 mg/kg and intratescular Lidocain 2 mg/kg. Antibiotics: already on Marbofloxacin 4 mg/kg PO SID. Complications: dysporia in recovery -> Acepromazine. Wake up phase: postoperative sedation Acepromazine 0.005 mg/kg IV and Medetomidin 0.001 mg/kg IV. Intervention duration: 200 min. Anaesthesia duration: 280 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen, Retroperitoneal (prostate), castration site
Pain duration: 24 hrs to 7 days
Estimated pain severity: 10
Species: dog
Breed: Labrador Retriever
Sex: f, neutered
Weight: 28.8 kg
Birth date: 2013-03-07 00:00:00
Primary diagnosis: Aggressive monostotic lesion left 5th rib with soft tissue mass (probably osteosarcoma)
Situation: pre surgery
Medical history: A mass on the left cranial thorax (behind the scapular margin, on the ribs) was diagnosed by a private vet as an incidental finding. No other diseases are known. The dog was referred for CT and biopsy. CT report: Aggressive monostotic lesion of the caudal aspect of the left 5th rib with soft tissue mass; Single hepatic nodule, right middle liver lobe; Positional atelectasis of the left lung lobes. Multifocal incidental osteomas; Bilateral chronic bicipital tenosynovitis and mild degenerative joint disese (R>L) with/without separate ossification center of the glenoids; Mild multifocal spondylosis deformans; The aggressive monostotic bone lysis and accompanying soft tissue mass is likely an osteosarcoma vs, less likely, chondrosarcoma. An FNA was sent for cytology.
Medication: No clear information, probably no medication before consultation. No medication before surgery. After surgery: Fentanyl CRI 5 ug/kg/h -> 2.5 ug/kg/h, Carprofen 4 mg/kg IV SID, Ampicillin 30 mg/kg IV TID.
Anesthesia: Intervention on 05.06.2024: lateral thoracotomy with ribs (5-7) removal. Premedication: Dexmedetomidin 0.004 mg/kg IV, Methadon 0.2 mg/kg IV. Induction: Propofol 4 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: IV Infusion Fentanyl 0.005 mg/kg/h, local anaesthesia splash (while closing) Bupivacain 5 ml & intercostal block Ropivacain 6 ml & epidural with Methadon 0.1 mg/kg and Morphin 0.1 mg/kg. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Wake up phase: postoperative analgesia CRI Fentanyl, Bolus Carprofen 4 mg/kg IV. Intervention duration: 185 min. Anaesthesia duration: 320 min.
Pain type: chronic, inflammatory, somatic
Pain origin: thorax
Pain duration: unsure
Estimated pain severity: 20
Species: dog
Breed: Labrador Retriever
Sex: f, neutered
Weight: 28.8 kg
Birth date: 2013-03-08 00:00:00
Primary diagnosis: Aggressive monostotic lesion left 5th rib with soft tissue mass (probably osteosarcoma)
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: profound sedation (3)
Medical history: A mass on the left cranial thorax (behind the scapular margin, on the ribs) was diagnosed by a private vet as an incidental finding. No other diseases are known. The dog was referred for CT and biopsy. CT report: Aggressive monostotic lesion of the caudal aspect of the left 5th rib with soft tissue mass; Single hepatic nodule, right middle liver lobe; Positional atelectasis of the left lung lobes. Multifocal incidental osteomas; Bilateral chronic bicipital tenosynovitis and mild degenerative joint disese (R>L) with/without separate ossification center of the glenoids; Mild multifocal spondylosis deformans; The aggressive monostotic bone lysis and accompanying soft tissue mass is likely an osteosarcoma vs, less likely, chondrosarcoma. An FNA was sent for cytology.
Medication: No clear information, probably no medication before consultation. No medication before surgery. After surgery: Fentanyl CRI 5 ug/kg/h -> 2.5 ug/kg/h, Carprofen 4 mg/kg IV SID, Ampicillin 30 mg/kg IV TID.
Anesthesia: Intervention on 05.06.2024: lateral thoracotomy with ribs (5-7) removal. Premedication: Dexmedetomidin 0.004 mg/kg IV, Methadon 0.2 mg/kg IV. Induction: Propofol 4 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: IV Infusion Fentanyl 0.005 mg/kg/h, local anaesthesia splash (while closing) Bupivacain 5 ml & intercostal block Ropivacain 6 ml & epidural with Methadon 0.1 mg/kg and Morphin 0.1 mg/kg. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Wake up phase: postoperative analgesia CRI Fentanyl, Bolus Carprofen 4 mg/kg IV. Intervention duration: 185 min. Anaesthesia duration: 320 min.
Pain type: acute, chronic, inflammatory, visceral, somatic
Pain origin: thorax
Pain duration: unsure
Estimated pain severity: 20
Species: dog
Breed: Yorkshire Terrier
Sex: f, not neutered
Weight: 3.6 kg
Birth date: 2023-09-22 00:00:00
Primary diagnosis: Antlantoaxial instability
Situation: hospitalized
Medical history: Nala was presented on the 31 May due to neck pain and apathy. The week of 20th May Nala always cried, had pain in her neck, she was afraid when touched. When she slept sometimes she waked up with pain and she cried. On 25.05 Nala went to the private vet because she was shaking and panting more. The privatew vet gave Novalgin (CRP increased) and stomach protector without improvement. On 27.05 back to the private vet because no improvement, got CBD --> no improvement. On 29.05 at the private vet: Bupaq and Metacam. Nala was better on 30.05 but then on31.05 Nala was worse. A CT was done. Rapid test 4Dx done: all negative. Also Nala has been apathetic since her heat. At our clinic an atlantoaxial instability (probably congenital) could be detected. A splint to prevent upward movement was used, as well as pain therapy.
Medication: 03.06: Pregabalin 4 mg/kg PO BID, Paracetamol 15 mg/kg IV TID, Meloxicam 0.1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID. 04.06: Pregabalin & Paracetamol & Meloxicam same as on 03.06
Neurologic exam: Mentation: attentive, shy. Posture: carries head low and stretched forwards. Gait: Venflon right hind leads to lameness, probably normal without it. Postural reactions: normal. Cranial nerves: Strabismus ventrally on the left eye, menace response reduced on both sides (possibly still age-related). Spinal reflexes: normal. Sensibility: highly painful behind the ears in the atlantoocipital area. Neuroanatomical localisation: Midbrain and region C1-C5.
Pain type: subacute, nociceptive, somatic
Pain origin: neck
Pain duration: more than 7 days
Estimated pain severity: 20
Species: dog
Breed: Yorkshire Terrier
Sex: f, not neutered
Weight: 3.6 kg
Birth date: 2023-09-23 00:00:00
Primary diagnosis: Antlantoaxial instability
Situation: hospitalized
Medical history: Nala was presented on the 31 May due to neck pain and apathy. The week of 20th May Nala always cried, had pain in her neck, she was afraid when touched. When she slept sometimes she waked up with pain and she cried. On 25.05 Nala went to the private vet because she was shaking and panting more. The privatew vet gave Novalgin (CRP increased) and stomach protector without improvement. On 27.05 back to the private vet because no improvement, got CBD --> no improvement. On 29.05 at the private vet: Bupaq and Metacam. Nala was better on 30.05 but then on31.05 Nala was worse. A CT was done. Rapid test 4Dx done: all negative. Also Nala has been apathetic since her heat. At our clinic an atlantoaxial instability (probably congenital) could be detected. A splint to prevent upward movement was used, as well as pain therapy.
Medication: 03.06: Pregabalin 4 mg/kg PO BID, Paracetamol 15 mg/kg IV TID, Meloxicam 0.1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID. 04.06: Pregabalin & Paracetamol & Meloxicam same as on 03.07
Neurologic exam: Mentation: attentive, shy. Posture: carries head low and stretched forwards. Gait: Venflon right hind leads to lameness, probably normal without it. Postural reactions: normal. Cranial nerves: Strabismus ventrally on the left eye, menace response reduced on both sides (possibly still age-related). Spinal reflexes: normal. Sensibility: highly painful behind the ears in the atlantoocipital area. Neuroanatomical localisation: Midbrain and region C1-C5.
Pain type: acute, inflammatory, somatic
Pain origin: hind legs
Pain duration: 24 hours to 7 days
Estimated pain severity: 70
Species: dog
Breed: Welsh Corgi Cardigan
Sex: f, not neutered
Weight: 13.9 kg
Birth date: 2020-12-31 00:00:00
Primary diagnosis: Intervertebral disc extrusion T12-13 & T13-L1
Situation: hospitalized
Medical history: Since Monday evening a week ago the dog shows pain (back or paws) and dragging of the right hindlimb. She was also showing backhand weakness with tremors in the hindlimbs. On Tuesday the private vet had suspicion of cranial cruciate ligament rupture, he treated the dog with probably NSAIDS. On Friday the private vet found reduced posterior proprioception. They started Gabapentin BID, for the owner this led to a great improvement. On monday the 03.06 they went again to the private vet, an X-ray was taken. The dog then came to the clinic later that day, where she showed a paraparesis, she especially struggled with getting up. She was clearly paiful in the thoracolumbal region. MRI report (04.06): Acute on chronic and compressive, intervertebral disc extrusion with a hemorrhagic component, T13-L1 (mildly right sided); Regional myelopathy; Degenerative intervertebral disc disease with multifocal thoracolumbar chronic intervertebral disc protrusions, more pronoucned at T12/T13 with moderate ventral compression of the spinal cord. On 06.06 she had surgery: hemilaminectomy.
Medication: Before presentation: Gabapentin 7.2 mg/kg PO BID, Robenacoxib 1.4 mg/kg PO SID. 04.06: Methadon 0.2 mg/kg IV q4h, Gabapentin 10 mg/kg PO TID, Onsior 1.4 mg/kg PO SID. 05.06: same as on the 04.06. 10.06: Buprenorphine 0.02 mg/kg IV TID (not given before filming), Gabapentin 20 mg/kg PO QID, Paracetamol 15 mg/kg IV TID, Fortiflora 1 sachet PO SID, Prokolin 3 ml PO BID, Novalgin 30 mg/kg IV TID (started after filming).
Anesthesia: Intervention on 06.06.2024: hemilaminectomy.
Neurologic exam: Mentation: stressed, otherwise normal. Gait: moderate paraparesis, difficulty especially when standing up, afterwards able to walk. Postural reactions: proprioception absent posteriorly, normal anteriorly. Cranial nerves: normal. Spinal reflexes normal. Pain: difficult to say, as very hectic, but certainly at least thoracolumbar significant dolence, but also reacted in the right hind paw with snapping and trembling in the neck area on palpation. Panniculus: continuous. Neuroanatomical location: T3-L3.
Pain type: subacute, nociceptive, somatic
Pain origin: back
Pain duration: More than 7 days
Estimated pain severity: 40