C09974257 / invoice 10000

Appointment Notes: lump on bellySubjective: Presented by Male and Female Os. They have taken Butch on from the Female Os brother, where he was mistreated. He has bee nervous in their care, sometimes prone to snapping unexpectedly. Current concern: mass at ventral chest - has been present from a young age, possible slow growth noted recently. EUDF fine. NO VDCS. Notorious sunbaker, Os aware this means skin cancers might be a concern in future. Objective: Shy to examine, wary of strangers. Taken to tx area as precaution + muzzled for FNAB, after brief exam on consult table. HR/PR/CV: 110bpm, s/s, nad MM/CRT/Hydration: p, moist, <1.5s, well hydrated RESP/RR:  regular to panting GIT/UG: nad Skin/Ears: ventral chest to the right of midline: underneath harness: bright pink, hairless, dermal mass: measured with ruler: 8mm long [dangling segment] x 8mm diameter. Mass has fine blood vessels across the surface. M/S: ambulating well Eyes: nad Dental: n/e as highly wary of approach to his face Lymph Nodes: WNLs BCS: 6/9Laboratory: Cytology: First slide: RBCs +++. WBCs ++ [neutrophils and lymphocytes] due to blood contamination. 2 x round cells detected at the periphery: they appear to be large discrete round cells of uniform size with large, round to oval, slightly eccentric nucleus and moderate amount of cytoplasm. Both cells exhibit granules [intra-cellular], they do not appear to have degranulated. Second slide [same mass]: RBCS +++ with few spindle cells loosely aggregated with oval nuclei containing single prominent nucleoli and stippled chromatin. There was some anisocytosis and one binucleate cell was evident. Treatment: 1. FNAB mass ventral chest Assessment: 1. Long term mass ventral chest: dermal. DDx. mixed cytology results, inconclusive. Difficulty with sampling as fine blood vessels overlying the mass itself, led to multiple samples exhibiting blood contamination. Ddx. benign vs malignant: MCT, histiocytic sarcoma, other  Discussion with clients - explained mixed results. Option to play things very safe: surgical removal of the mass under GA outright [with educated decision on boundary/margins/approach to the removal] - Os are not certain they want to jump to this level. SH offered next option: review in 1 month - remeasure size [assess if growing rapidly] and repeat FNAB carefully avoiding the blood vessels. If population of cells such as the round cells for example, are more dominant in the next sample, encourage removal of the mass as a precaution. In the meantime, encouraged Os to watch the mass carefully for sudden change in size/shape or appearance, if concerns: review immediately.  Plan: 1. Review in 1 month for repeat measure of size and FNAB 2. If concerns over growth, biological behaviour or cytological nature of the mass - GA + surgical excision as a precaution ____________________________INSURANCE HXInitial Assessment > mass exam Suspected cause > benign vs malignant Date of first clinical signs > 2+ years Any other conditions / treatments > nil      Vital Signs    Weight: 24.5;       

Reason: Vax And Scratching, EarsSubjective: (28.1kg - but possibly not accurate) DUDE well, no D/V/C/SNot on any medication Scratching ears recently, otherwise not itching anywhere elseNot on any medication and no other concerns Objective: BARHR/PR/CV: 96bpm, no murmur/arrhythmia MM/CRT/Hydration: pink mm, crt<2sRESP/RR: NADTemp: NEGIT/UG: abdominal palpation comfortable and unremarkable Skin/Ears: NSF, ++dark ceruminous discharge - unable to visualise TMs due to ++discharge  cytology- +malassezia bilaterally M/S: ambulating well Eyes: NADDental: G0Lymph Nodes: WNLBCS: 5/9Assessment:Fit for vaccination Bilateral OEDiscussion with owner: Advised TMs not visible - o aware to monitor signs of ototoxicity Treatment: BronchiShield Oral Batch #5245046B 09.10.2026Pi2 Protech s/c inj Batch #5264016 22.10.2026Dermotic 1ml BID topically in both ears Plan: Recheck ears in 7 days FUC in 5 days KC vaccine in 12 months    Vital Signs    

Reason: VaxSubjective: Recently acquired by current O's from a brother.Brother mistreated him so he is very nervous Needs C5 todayOnly concern at home is some mild mucoid discharge around the eyes every now and then - no redness noted.DUDE, no V+ or D+BAR in consult - very nervous but food responsive, not sure would tolerate a full eye exam todayObjective: HR/PR/CV: 90, normokinetic, no murmurMM/CRT/Hydration: pink and moist, 2 seconds, hydratedRESP/RR: lung sounds clearTemp: n/cGIT/UG:  tense on palpationSkin/Ears: NAD M/S: Ambulating wellEyes: No gross discharge, hyperaemia, swelling or blepharospasm notedLymph Nodes: NAD BCS: 5/9Assessment:1.) Fit for vaccines2,) Eye discharge - allergic vs irritant vs allergic conjunctivitisTreatment: > C3Duramune  Triennial s/c inj Batch #5262007 06.03.2025> Canigen KC s/c inj Batch #2405806 02-2025> Calendula tea handout given> Trazodone 175mg PO 2-3 hours before vet visitsPlan: > Year 2 adult canine booster vaccines in July 2025> INI eyes with calendula tea return for eye exam with trazodone on board    Vital Signs    Weight: 24.1;