Patient Information:
Tanzi (#18415)
Rhodesian Ridgeback
Tan
Male 7 year
______________________________________________________________________
January 27, 2009
TPR (9:33 am MAN Karen Oberthaler, VMD DACVIM (Onc)/que)
Temperature = 101
Pulse= 102
Respiratory Rate= 30
Weight: 41.200 kg, 90.64 lb, 1.19 m2
PRESENTING COMPLAINT (10:38 am QUE Karen Oberthaler, VMD DACVIM (Onc)/que)
continued chemotherapy and echo
HISTORY (10:38 am QUE Karen Oberthaler, VMD DACVIM (Onc)/que)
no vomiting or diarrhea
no concerns written on drop-off sheet
PHYSICAL EXAMINATION (10:39 am QUE Karen Oberthaler, VMD DACVIM (Onc)/que)
BAR. H Pk 1s
EENT: No ocular or nasal discharge. Mucous membranes pink and moist, crt <2s.
Mild dental calculus. Clean ears.
PLN: all wnl,NP axillaries, inguinals, & popliteals
HL: No murmurs or arryhthmias, strong synchronous pulses, normal BV sounds.
ABD: soft non-painful
UG: Intact male, testes smooth and symmetrical. No blood or palpable
abnormalities of penis or prepuce.
MSI: BCS = 4.5/9, well muscled.
DIAGNOSIS (10:40 am QUE Karen Oberthaler, VMD DACVIM (Onc)/que)
LSA, high grade, stage IVa: PLNs, spleen, liver
Suspect prostatitis
Diarrhea–resolved
DIAGNOSTICS (10:40 am QUE Karen Oberthaler, VMD DACVIM (Onc)/que)
in house CBC
echocardiogram
TREATMENT (10:40 am QUE Karen Oberthaler, VMD DACVIM (Onc)/que)
vincristine 0.83mg IV
MEDICATION (10:41 am QUE Karen Oberthaler, VMD DACVIM (Onc)/que)
METRONIDAZOLE, 500mg #10
(01-27-09 QUE Karen Oberthaler, VMD DACVIM (Onc))
Rx: Give 1 tablet if needed for diarrhea. Do not exceed more than 1 tablet every 12 hours.
Refills: 0
Begin this medication ____________.
RECHECK (10:42 am QUE Karen Oberthaler, VMD DACVIM (Onc)/que)
in 1 week for continued chemotherapy
DISCHARGE INSTRUCTIONS (10:42 am QUE Karen Oberthaler, VMD DACVIM (Onc)/que)
Everything went very well today. Tanzi received vincristine chemotherapy and had his echocardiogram.
Because he experienced diarrhea after receiving vincristine before, I am sending him home with metronidazole for you to have on hand just in case.
Please schedule Tanzi’s next chemotherapy appointment for 1 week from now.
Sincerely,
_____________________________________________
Karen Oberthaler, VMD
ACVIM Oncology