C09974294 / invoice 10000

Reason: Recheck For More Meds Zenrelia is really helping, Lucky is happy and barely itching. History:EDUD normally, has small lump on ventral L chest, O thinks lipoma.Is only giving 1 tablet once daily of 15mg zenrelia but is working fine, aware that labelled dosage is 2 tablets once daily. Flea/worming/heartworm tx – up to dateDiet – adult kibble. Exam:Demeanour = BAR, quite nervousMM/CRT= pink, < 2 secEyes = NADEars = NADOral = NADChest Auscultation = NADAbdominal Palpation = NADLN = NADMSK = DNE, ambulating normallySkin = 4cm soft round freely-movable lump in SQ L ventral chest - feels consistent with lipomaAssessment: Healthy on examPotential lipoma - O declined FNATreatment:Disp zenrelia 15mg x 90 tabs - 1 SID    Vital Signs    Weight: 39.4;