C09979756 / invoice 10000

Appointment Notes: rr [Veterinarian : Dr Jessamie Skelton(No Preference)] -  - Ollie (Dog) - Sarah Leicester - 0481251186 - Consultation (Lump check) - -Web BookingClient name: Sarah LeicesterContact number: 0481251186Email address: sezza44@gmail.comPatient name: OllieSubjective:History: The owner presented Ollie for a new, large lump noticed on his side a few days ago. Ollie has a history of other lumps, with one previously monitored. He was diagnosed with spondylosis via pelvic X-rays two years ago. The owner reports his eating, drinking and toileting are all normal. Ears are cleaned regularly by the owner for irritation.- Clinical signs/progression: A new, large subcutaneous mass noted recently. History of multiple other masses.- Significant history: Spondylosis diagnosed two years prior.- Current medications: Foresight, other joint supplements, and an ear spray as needed.- Appetite & diet: Eating and drinking normally.Objective:Vital Signs:- Blood Pressure: Not mentioned.- Heart Rate: Not mentioned.- Respiratory Rate: Not mentioned.- Temperature: Not mentioned.Demeanour: Patient during examination.Examination Findings:- Eyes: Greying lenses- Ears: Mild bilateral otic irritation.- Oral: NAD- Nose: NAD- Peripheral lymph nodes: NAD- Cardiovascular: NAD- Respiratory, breathing: Not mentioned.- Urinary/Genital: Not mentioned.- Skin: Multiple subcutaneous masses. A large(6x4x1.5cm), flat, firmer mass is palpable in the left axillary region, deep to the skin. two soft mobile SC masses- 2x3cm on left cranial chest, 4x4 on R flank. A chronic callus with mild proliferation noted on a front leg.- Abdomen: Not mentioned.- Rectal examination: Not mentioned.- Neurological: Not mentioned.- Musculoskeletal: Not mentioned.- BCS: Not mentioned.- Hydration: Not mentioned.- Other Findings: No abnormalities.Problem List:1. Multiple subcutaneous masses, including a new large, firm left axillary mass.2. Mild otic irritation.3. History of spondylosis.Assessment:Ollie presented for investigation of a new subcutaneous mass. Clinical examination revealed multiple masses. The primary concern is a large, firm, flat mass in the left axilla. A second mass on the right side has features consistent with a lipoma. In-house cytology from one mass revealed only fat cells and red blood cells, suggestive of a lipoma. Mild otic irritation was also noted.Plan:Treatment Plan: Fine needle aspirates performed on multiple masses. Samples submitted for external histopathology.Progress Notes: Awaiting external cytology results.Client Communications: Discussed the high probability of benign lipomas but recommended external cytology for confirmation. Advised owner to monitor all masses for rapid growth or changes in texture. Advised monitoring the leg callus for any changes. Discussed that surgical removal is an option if masses affect comfort or mobility.Allergies: Not mentioned.Additional:- Prognosis is considered good, pending cytology results. Owner consented to submitting samples for external analysis after being quoted $40.    Vital Signs    Weight: 37;