C09978917 / invoice 10000

Vetnostics attached    Vital Signs    

Appointment Notes: Maya (Dog) - Jerry Thomas - 0402956967 - Consultation Standard (one concern and rechecks) [Clinician : Dr. James Rawson(No Preference)] - Maya has been listless the last few days, for example unwilling to climb stairs.  - Regular Web BookingClient name: Jerry ThomasContact number: 0402956967Email address: Jerry@thomasovi.netPatient name: MayaHistory:Noticed strange behavoiur a few days agoReluctant to go up the stairs to her bedroom. Seems to go half way up to the landing and then stopping there.Chases ball on walksToday wouldn't climb the stairs. Just lay at the bottom of it. Normally quite lazy but this is obviously Appetite okNo CSVD Nexgard spectra UTDPhysical Exam: BAR Eyes, ears, mm, lnn, abdo palp, HR, RR, thoracic auscultationMSK:Gait NAD, no obvious lameness, proprioception 4 limbs NADNeck moves freely 4 directions, cervical palpation NADPalpation of spine NADLimb palpation, long bones, joints, ROM NAD.  Temp WNLRight of spine - dorsal thorax are 2 2mm x 2mm firm intracutaneous lumps. In house cyto +++ melanin. SUspect meloncytoma. Only sampled the bigger of the two lumps. ASSESSMENT:Lameness with no significant abnormalities or specific cause for lameness found on PEPLAN:Monitor with rest and analgesia (just paracetamol) . Recheck INI +/- radsJR to call Jerry with results of cytoIf lump needs to be removed then FNA other lump and do at the same time    Vital Signs    Weight: 10.2;       

Reason: LumpAppointment Notes: Maya (Cat) - Jerry Thomas - 0402956967 - Consultation Standard (one concern and rechecks) [Clinician : Dr. Alex Smeliansli(No Preference)] - Lump on scalp  - Regular Web BookingClient name: Jerry ThomasContact number: 0402956967Email address: jerry@thomasovi.netPatient name: MayaHistory: Noticed lump on head. ItchyAlso has had v small lump on dorsum for a whileOtherwise wellEDDU normalPhysical Exam: BARVitals WNLsNAD cardiopulmonary auscNAD abdo palpLNs normalEENT normalScab 8mm top of head - Marked RBCs - impression smear moderate neurtrophils, keratinocytes, mild cocci. Not lump from what I can tell1-2mm firm subdermal lump R dorsum - fat only on FNA (missed)Assessment: Tx lump on head as open wound - repeat cytology if lump palpable after wound healsMonitor dorsum lump and attempt to FNA again if needed    Vital Signs    Weight: 10.4;