C09972189 / invoice 10000

Appointment Notes: lip lump  cmREcurrence of lip lump seen a couple of months agoDoesnt seem to bother him at allIndoor only cat aside from walks on leash to park, no contact with strange catsEats wet and dry - fancy feast pate and dental One other cat at homeEDUF normallyObjective: BARRostral lower lip at mucocutaneous junction has lump approx 6mm diameter, has whitish appearance under mucosaFNA tricky as very sensitive area - only a few clumps of epithelial cells and some squamesAssessment: Lower lip lump ddx cyst, inflammatory, neoplastic, infectious, otherPlan: Given last lump resolved (was on abs but I dont see an indication on this occasion as no neuts/bacteria seen) - o to update us in 2w, if still present recommend excise and histo for defin dx    Vital Signs    Weight: 4.66;       

History: Noticed a lump under lip for 2 days, getting bigger Udon is not bothered by the lump, no bleeding or discharge No current medicationSome coughing like another cat at home (another cat has asthma), but very mild and not often Examine: Small solid lump on mid lower lip. FNA: RBC, occasionally degenerative neut. Assessment: Inflammation +/- infection ddx insect bite, allergy, cat fight Plan:  Start metacam, clavulox. Recheck INI E-collar if trying to scratch     Vital Signs    Weight: 4.4;       MMColour: Pink;       Heart: Normal;       Lungs: Normal;       Demeanour: BAR;       Gingivitis: 0;       Calculus: 0 (Quick Look while he is hissing );       Observation: Normal;       HeartRate: 152;       PainScore: 0;       CRT: 1-2;       

Reason: Burnt Paw From Stovetop?Jumped on stove, R paw seems to affected, but not really bothered by it.Objective: Integument: digit 2 and 3 have small blisters on paw. Assessment: Burn - currently non-painful. Plan: Not bothered at the moment at all, no pain relief or antibiotics supplied today.  If Udon's blisters deteriorate any vet can dispense some pain relief (metacam) +/- clavulox.  Additionally, if udon becomes bothered by it or licking O will put on a cone.    Vital Signs