C09972739 / invoice 10000

Appointment Notes: lump check - RHLR popliteal is larger than L poplitealL popliteal is prominent but not massively enlargedall other peripheral lymph nodes are palpable but not particularly enlargedR foot - at the ventral interdigital area there is a focal swelling with a blister on top - suspect a FB / furunculosis type reactionL lateral metatarsus there is a dark skin tag like massFNA LN = send to pathologistmost likely reactive, as there is evidence of inflammation at the footFNA dark skin tag - not exfoliativeowner says at the other vets they could not get any meaningful sample eitherwill either have to monitor or surgically removestart amoxyclav 500 mg bid while pending results for LN aspirateexplain to owner possible results from pathology:1. either confirms reactive2. or lymphoma3. or equivocal - may need histopath    Vital Signs    Weight: 30;