C09977632 / invoice 10000

Reason: Ruptured AG?Appointment Notes: Overdue remindersHistory:Started like a wound (o showed). Now it is something pendulated from it. E/D/U/D all good No S/C/D/VExamination:Pendulated tissue/fat-like material proturing from perianal region.Tartar built up on all teeth, gingivitis present.Chest clearAssessment: Fat tissue from wound vs other. Unknown aetiology. Plan: Sedation/GA will be require to explore and provided adequate tx. Esmt on file. Vacc can be given if it is not contraindicated (O aware of it)Dental was recc, estm. $998 for stage 1. Stage 2 will be determine after examination during stage 1. Will not be done tomorrow (discussed with O).    Vital Signs    DentalGrade: 2-3/4;