From Jun 23, 2012, all vets at Toa Payoh Vets will record the veterinary surgeries done in the following format and e-mail to Dr Sing. This e-mail will be stored in the "cloud". An example is given below:
Veterinary surgery report - excision of bladder adenocarcinoma on May 14, 2012 & follow up 38 days later on Jun 21, 2012Date of Veterinary Surgery Report: Jun 22, 2012 Name of Veterinary Surgeon: Dr Sing Kong Yuen & Dr Daniel Sing Case seen on May 14, 2012 by Dr Daniel Sing 1. History & Complaint: TP 43355, (Name of Dog), Beagle M, 13 years, attended by Dr Daniel Sing 2. Presenting Sign & Symptoms: Incontinent with bloody urine dripping all over the floor and passing blood clots for > 4 weeks. Haematuria + Anaemia 3. General Examination: Abdominal pain 4. Tests done & significant findings of tests: 4.1 Blood tests May 10, 12. RBC low 5.1 (5.5-8.5), Total WCC 12.4 (6-17), N 75%, L12%, M7%, E5%,B1% Jun 21, 12. RBC 5.6 (5.5-8.5), Total WCC 12.1 (6-17), N 77%, L16%, M7%, E0%,B1%
4.2 Urine
tests
May 10,
12. pH 5,
SG 1.005,
Protein
3+,
Ketones
1+,
Blood
4+,
WBC 90,
RBC>2250,
Bacteria
3+
Jun 21, 12 pH 7, SG 1.008, Protein 1+, Ketones -ve, Blood 3+, WBC 48, RBC 351, Bacteria 3+ 4.3 Histopathology: Moderately differentiated adenocarcinoma
5. X-rays:
Radio-dense
"stones"
seen in
bladder
area.
6. Anaesthesia: May 15, 12. Body weight: 16 kg. At 50%, Dom 0.32, Ket 0.4 ml IV. Isoflurane gas maintenance. Surgery time: 2 hours. Polysorb absorbable sutures 2/0 x 3 packets, 3/0 x 1 packet 7. Surgery: May 15, 12. Excision of hard gritty tumour, 1.8cm x 1.5cm x 0.5 cm, near the neck of the tumour. Sent for histopathology. Operating surgeon: Dr Sing K Y. Assisted by: Dr Daniel Sing Follow-up dates: May 22, 12 7.35 pm, Dr Sing K Y phoned owner. No response. Jun 22, 12, Dr Daniel Sing informed owner of the 2nd blood and urine test results Signature of Veterinary Surgeon: Dr Sing K Y Date of this report: Jun 22, 2012 Attached and owner has acknowledged receipt: Blood tests given to owner: No Urine tests given to owner: No X-rays given to owner: No Ultrasound report given to owner: Not Done. Histopathology report given to owner: No Sterilisation Certificate No. .... given to owner: NA Others given to owner: NA Anaesthetic & Surgical Record No. ........(Form is not printed yet). Ear Scope: NA Skin scraping: NA Opthalmoscopy: NA Urinary stone analysis report: NA Others: NA
Comments by
Dr Sing K Y 2nd urine test: Jun 21, 12 pH 7, SG 1.008, Protein 1+, Ketones -ve, Blood 3+, WBC 48, RBC 351, Bacteria 3+ |