C09980145 / invoice 10000

Reason: GHC + Lump On Chest Appointment Notes: requested hx from clyde vet - last vacc on their file was a C5 sep 23 (last puppy vacc)Lump on chest noticed over weekend, feels a little deflated now- cleo not bothered when O touching it, hasnt seen scratching or chewingOtherwise well eddu wnl no vdcsNo incontinence when on porplain 0.5ml- was rec by spec to have 3 heats, trial weaning off then spey- if o reduces dose at all will start leaking before next dose dueNo vdcs otherwise wellExamination:Temperament- barBCS- 7/9Ears/eyes- wnlMouth- small amount of tartar on upper carnassialsLN- SM WNLChest auscultation: HR/RR wnl. No murmurs. Clear chest soundsAbdo- soft and comfortable palpationIntegument- healthy coat, 15mm raised red lump on sternum, small scab frmingMSK- wnlUrogenital- wnlFNA - fried egg cellsHistocytoma - monitor, should resolve in next 4-8wCurrently well managed on propalin dose, last heat 6m ago O waiting for next one to trial tapering off    Vital Signs    Weight: 23.5;