C09979637 / invoice 10000

Reason: Lump Near Anus ND Appointment Notes: Overdue remindersHistory:O noticed left anal swelling just todaySeen last fri - L anal gland difficult to express unsure if dt scar tissue- placed onto abs for 5 days Clinically freya seems to be well and comfortableHx of AG abscess 4 weeks ago(L side)O keen on AG removal as prev discussedExamination: BARBCS 5/9HR  96Mm pink PantL AG swelling - externally soft swelling appears to be ruptured - bleeding - able to flush this with catheter tip and saline / chlorhexInternally L side is very very thickened, swollen, firm. Able to express some material + blood.R AG mod full -expressed- gritty materialAssessment: L anal swelling ddx infectious/abscess + scar tissue vs neoplasia vs anal furunculosisPlan:EcollarCont noroclavStart metacamRV friday with kellie - reassess swellingWill discuss sx with grant    Vital Signs    Weight: 38.6;