C09972698 / invoice 10000

Reason: Lumps  - GAPAppointment Notes: Paws App Details:Booking Type: Health Examination $124Booking Notes: Reggie gets sore legs and has restricted movement after exercise.He has two lumps. One on left hand leg and one body behind right fore leg.History:Clinical signs/progression:2 lumpsRight front anad Left hind leg Sore After exercise he is really sore and limping while exercise and limp litttle. Its been there , Sig hx: oa (Osteoarthritis)Current meds: antinol 2 cap a day Appetite & diet: EDUD ok Prev Care UTD/products?: Objective:Vital signs recorded to LEFT columnTemperament: Ophtho: Otic: Oral: Nose: CV, pulses: Resp/Chest:  U/G: Abdo palp: Neuro: Musculoskel: both elbow has crackels on exam and carpus area Left >right sideBoth knee and hips felt ok, no crackles and good ROM Integ: left hind latearl thigh 2cm diameterRight axillae area approx gold ball sizeHydration: euhdyratedOther findings: Problem list: Assessment: Plan: Treatment: Progress notes: Client Comms: +/- Prognosis, tx declinations+/- record conditions/meds in ALLERGIES tabDelete prompts as necessaryFirst Clinical Signs:few days ago Summary:noticed lump on front and back leg area , not bothering him. Otherwise his physical exam normal. He is overweight and started to slow down and restricted movement after walking. Getting worse after exercise. So recommended oa (Osteoarthritis) injections. Dx: lipoma, etcTx: none    Vital Signs    Weight: 40.4;