C09974697 / invoice 10000

History: - Noticed a lump on the head yesterday, which is movable and caused hair to stick up- Recently moved from America, which might have caused stress made them a more anxious dog and wont be in crate anymore or confined spaces- Previously crated during the move, now shows anxiety related to crating- Generally happy, playful, and interacts well with other dogs- O feed mor as thought they where too skinnyExamination: General: Happy demeanor, no signs of distressHead: Movable lump on the head not attached to fascia, unable to determine if attached to dermis or not. Size 10*15mm defined round margins in oval shape.Lymph nodes: No enlargementMM: Pink and moistCapillary refill time (CRT): GoodEyes: Good clear opacityWeight: 29 kgTemperature: 39 degrees CelsiusOral: Beginning to develop gingivitis, no signs of tartare of discolouration developing yetNo evidence of obvious systemic illness Differential Diagnosis: - neoplasia- abscess- heamatomaDiagnosis: - heamatomaTreatment: FNA mass and preform cytological assessmentLAB- FNA of mass	RBC present, no accumulation of WBC’s or microbial pathogensPlan:- Reduce food intake by 30% to manage weight- Monitor and manage gingivitis with new toothbrush, aim to prevent dental issues- Recheck  as necessary based on cytology results- monitor size of mass, 	if increasing in size return to PVC	if not resolved in 2 weeks return to PVC    Vital Signs    Weight: 29;       MMColour: pm;       Temperature: 39;       HeartRate: 94;       BodyScore: 6/9;       DentalGrade: 1;       RespirationRate: 25;       PainScore: 0;       CRT: <2;