C09979041 / invoice 20000

Admit for day procedurePlan:Lump on head removed under local blockTreatment: Examination: NADPEBloods declinedPremed: 0.1ml ace, meth 0.6ml IM @ 12:30pmLocal block applied around base of massClosed with 4/O suture, externalMeloxicam 1.7 SC @ 1:50pmHome with cephalexin 1000mg 1 tab BID    Vital Signs    

Reason: Lump On Head 3rd Consult Room - Dog ReactiveAppointment Notes: Overdue remindersHistory: Bleeding mass on the top of the head adj to the R ear mediallyNsf else. Has been there before now bleedingEnvironment, parasite control, diet, vax status;Prior Illnesses, Trauma, Surgeries:Describe any previous/ongoing health problems includingWhen/Duration/Treatment/OutcomePresenting problem(s)Examination:Eyes/ears:nsf some wax build upTeeth/mouth:neChest:clearAbdomen:nUrogenital:nDigestive:nLymph nodes:nSkin: raised 8 mm mass adj to the R ear, FNA infection (neuts, blood, Macrophagies no specific/malignant cells seenLocomotion:nNervous System:nAssessment:Plan/Diagnostic:Remove under local. Differential Diagnosis:Wart/trichoma/blastoma    Vital Signs    MMColour: pink;       Temperature: ne;       HeartRate: 100;       BodyScore: 5/5;       DentalGrade: ne;       RespirationRate: panting;       CRT: ne;