Surgery report Procedure - Fracture repair - femur Performed by - Dr. Ritzman Surgery time - 55 minutes Left Femoral Fracture Repair (Open Fracture): Patient was placed under general anesthesia and the left lateral proximal pelvic limb was sterily prepared. At time of preparation it was noted there was large amount of green bruising present as well as two open dermal wounds from the initial trauma. The open dermal wounds had formed superficial scabs. These wounds were caused from the bone ends piercing through the skin at the time of the trauma. A longitudinal incision was made with #15 blade on the lateral aspect of the left femur. Gentle blunt dissection used with moist qtips to bluntly separate the overlying muscle bellies to reveal the fracture site. The distal and proximal femoral fracture pieces were identified and gently stablized. A 0.045 mm IM pin was placed at the fracture site and advanced proximally out through the stifle joint. The IM pin distal end (blunted prior on distal end) was advanced into distal bone fragment and the left femur was aligned. Two 0.035 mm cross pins were placed from lateral to medial using hand chuck. One placed in distal fragment and one placed in proximal fragment. Was not able to place proximal cross pin at the very proximal end of the femur due to the very tiny patient size so it was placed a bit more distal but proximal to fracture site. Subcuticular and dermal closure with simple continuous pattern with 5-0 Vicryl suture. IM pin and cross pins were gently bent into proper position parallel to the femur. Thermoplastic cast material was used to form the external fix bar. Post op radiograph was taken. Alignment of femur is very good, proximal cross pin was advanced a bit further medially than ideal but was left in this position as it was not possible to move pin back out without losing purchase and alignment. Distal cross pin has good placement. The two dermal openings original to the trauma were closed with suture. Patient did well for the anesthesia period and recovery was smooth and uneventful. Subcutaneous warmed fluids given to patient post op as well. Will remain in hospital for overnight. See treatment plan. Dr. Tracey Ritzman, DVM,Dipl. ABVP-Avian & ECM

Fecal Collection date 2024-11-15 Results NEG

Fecal Collection date 2024-11-15 Results NEG

Eye exam Exam date - 2024-11-14 Examiner - SD/SC RIGHT LEFT PLR Menace PLR Menace ++ DNE ++ DNE Stain   Stain   DNE   DNE   Right eye: Pretty good eyes. No floating debris or scarring seen. Good pink color. Pattern sparse throughout the eye. Left eye: Pretty good eye. No floating debris or scarring seen. Good pink color. Pattern sparse throughout the eye.

Eye exam Exam date - 2024-11-13 Examiner - RMB RIGHT LEFT PLR Menace PLR Menace ++ DNE ++ DNE Stain   Stain   DNE   DNE   Right eye: What I can see looks normal but would not keep eye open enough for me to get a full view. Left eye: Possible scarring and maybe a blood clot medial. Would not keep eye open enough for me to get a full view.