C09978312 / invoice 10000

Reason: Lumps BleedingAppointment Notes: Overdue remindersHistory:In with Mitali. Rio has started chewing at a lump in his left elbow would like it removed asap please. In the past has found removal causes more to grow so only does this if he chews at the masses as once he starts he wont stop and antibiotics does not helpOtherwise is wonderfulExamine:Mentation: BAR , lovely boy enjoys his treats v sweetEyes: bright clearEars: not examined closelyOral: DG1-2 hard to seeMM/CRT: pink <1.5sHeart: 114 no m/aLungs: fineLymph nodes: wnlBody Condition: 5Spine/Hips/Joints: Abdominal: comfy softLumps/Skin/Coat condition: entire body covered in keratin horns ranging in size from few mm at base to 3cm at base (and about 6cm long horn)Tests performed: Assessment:Plan:Insurance Claim Notes:Patient was seen today for: ulcerated lumpArea affected: lump L elbowOnset of current symptoms: yesterdaySuspected cause: lumpIs this known to be pre-existing?: new lump Treatment dispensed:  recomm surgery tomorrow    Vital Signs    Weight: 12.4;