C09979768 / invoice 10000

Appointment Reason: Lump, Appointment Notes: Lump on back is increasing in size  ------- Sms reply: YHistory:noticed lump on his L lateral rump/ lumbar area. was present about a year ago and gotten bigger recently. otherwise Hendrix has been BAR, eddu well, no v+/d+, client has no concerns brushing his teeth daily - getting betterParasite Prevention: Diet: Hills perfect weight, hills t/d, some prairie food. some cooked chicken and beef Medication: Clinical Exam: Demeanour: BARHR: bpm, reg rhythm, nmaRR: bpm, normal bronchovesicular sounds bilaterally MM pink + moist CRT < 2 secT: deg C Dental Grade: /4 BCS: /9Eyes: Clear bilaterally Ears: Clear bilaterally Integ: Coat clean GIT: Abdomen soft and comfortable on palpation PLN: Submandibular, prescapular and popliteal lns palpable and wnl MSK: Ambulating well, full MSK exam not performedNeuro: BAR, normal mentation, full neurologic exam not performed Genitourinary: NAD Lab: Assessment: Treatment: Plan:     Vital Signs    Weight: 37.5;       MMColour: Pink;       HeartRate: 128;       RespirationRate: 32;       BodyScore: 5;       CRT: 1-2;