C09971968 / invoice 10000

Reason: VaccinationAppointment Notes: Overdue remindersHistory: -gets bravecto spot on, worming tablet and proheart (not due until the end of the month)-prev paw lump has resolved on it's own, belly lump still there however no change or growth and not bothered by it-EDDU-no other concerns-currently feeding prime 100 which has helped with prev GI issues, no longer has them since changing to this food-no v+/d+Examination: Smaller pink raised dermal round lesion on mid lateral ventral chest on the left side 0.5cm in size EEN okayCrt <2sec and pinkHR 92PantingChest clearTeeth looking goodLN okayNAD on abdo palpNo other sig findingsLaboratory: Assessment: Okay to vaccinateSuspect cystic type lesion, aspirate prev attempted but was inconclusiveTreatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:1. Intranasal kennel cough given, booster 12 months2. Lepto given, booster 12 months. Batch # A003A01 exp 10/263. Advised to continue to monitor chest mass, does not appear to be currently changing/or growing. Advised removal if this happens    Vital Signs    Weight: 36.5;