C09978401 / invoice 10000

Reason: Bleeding - HAAppointment Notes: Overdue remindersPrevious Known Hx: Current medication:Current Hx : O has no concerns except bleeding he has noted on floor at home. Little drips of blood, nothing excessive. Major concern: bleeding lump on groin. Eating and drinking: YesUrination: YesV- D-Diet:Vacc: UTDHeartworm: UTDFlea trt: UTDWorming: UTDPhysical Exam:Behaviour : Good, BARHydration Status: NormalThoracic auscultation – Cardiovascular: Heart strong and reg, No murmur nor arrythmiasRespiratory : Normal bronchovesicular lung sounds , no wheezes nor crackles. RRAbdominal palpation: Comfortable on palpation, no splinting. No palpable massesNeurological: Alert and responsiveMSK: Good ROM in all limbs, NSFIntegument : A small lump lateral to prepuce on left side with a bloody scab. Scab removed and lump bleeding. A much smaller reddish bump next to it. Eyes: NSFEars: NSFOral: NSFOther: NSFAssessment: Cancerous lumpHaemangioma?/benign cancer... Rather small to do cytology without causing more bleeding. Treatment:Lump cauterised. Plan:If bleeding starts again, excision recommended.Keep an eye out for any new/ further growthsO recommended to get all those lumps removed if it comes down to surgery so that we avoid surgery every couple of months. .    Vital Signs    Weight: 21.6;