C09979002 / invoice 10000

Reason: Groomer Cut Lump And Made BleedAppointment Notes: On paw, not actively bleeding now and Skyla does not seem sore or aggitated by it DRHistory:Lump on side of the paw that O accidentally cut O bandaged up, put iodine on it cleaned wth salt water EDDU normally no v/d/c/s Not utd with vac  - due nov but O been in hosp Not wtd with worming Examination:BAR MM pink and moist, CRT <2 sec HR WNL, no murmur detected RR WNL, chest clear Abdo palp nsf soft and comfy Eyes/ears/nose clean and clearDentition good  deciduous dentition + erupting adults Coat and integ good  lump RHL digit 5 1cm raised. FNA histiocytes, neutrophils, cocci. MSK ok BCS ok Assessment:Infected Histiocytoma Treatment:Clav 75mg BIDMelox 4.5kg dose SID Plan:Recheck at 2nd vac Spey in 1 month  -> discussed removal of histiocytoma if still bothering her Monitor deciduous canines. Adults erupting now - discussed removal at spey if needed    Vital Signs    Weight: 4.5;