C09978073 / invoice 10000

HISTORY:Presented for assessment of a small dermal lesion. The owner reports Bobby Jones is generally well, but is getting older with intermittent bursts of energy. There has been no vomiting or diarrhoea. The owner also noted a small skin abrasion on the leg, which is healing well.A small, raised, pink, alopecic dermal lesion was noted on the left dorsal aspect of the central cervical vertebrae area.Pre-existing conditions: noneAccess to toxins: noneCurrent Medications: none EXAMINATION:Mentation: BARMM: Pink & Moist CRT: <2 seconds Body Condition Score: 5/9Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Abdominal: no detectable pain on abdominal palpation- Rectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: A small, raised, pink, alopecic dermal lesion is present on the left dorsal aspect of the central cervical vertebrae. A separate healing abrasion is present on one leg.Lymph Nodes: NSFEyes: NSF DIAGNOSTICS:Fine needle aspirate of the cervical dermal lesion was performed. Microscopic examination of the sample revealed keratinaceous material and debris. TREATMENT:No treatment was administered in the clinic today. PLAN:Home into owner's care.The owner has been advised to monitor the lesion for any changes, such as rapid growth, ulceration, or irritation.    Vital Signs