C09981674 / invoice 10000

Reason: Lump Chcek Ghc MhAttendees:SamHistory:Grace presents for two small lumps on forehead - exuding cystic/purulent material when squeezed but no irritation or discomfort by Grace. No medications or supplements. No pre-existing conditions. A few other cyst/lipoma/warts Eating drinking urinating defaecating normallyNo vomiting/retchingNo coughing, no exercise intolerance, no breathing difficultyNo lameness, stiffness or sorenessNo itching and scratchingBright Alert ResponsiveBody condition score 6/9.  Examination:Mucous membranes – pink moist crt <2sOral cavity – clear, no evidence of ulceration, tongue normal, hard palate fineTeeth – grade 0 - some incisor wear Nasal planum – normal pigmentation and architecture, no crusting, no dischargeEyes – eyelid conformation normal, PLR normal, no chemosis,  no dischargeEars – no discharge, no erythema, pinna fineLymph nodes - normalHeart – normal regular rhythm no pulse deficits, no murmur HR 96 Lungs – clear sounds bilaterally, no crackles or wheeze, tracheal pinch negativeAbdomen – comfortable on palpation, bladder normal, no masses palpatedLimbs – all good range of movement, no swelling or pain on palpationNeck and spine – no pain on palpationSkin – no sign of erythema, no alopecia,  0.3mm raised scabbed nodule central forehead - cytology pyogranulomatous with intracellular cocci, RBCs. Whitehead located above RHS eyebrow. Nails – fineAnal glands – not scootingGenital region - no masses or swellingsDiagnosis:Infected cyst/follicleTreatment:Amoxyclav 500mg BID PO Bathe with salted warm water Plan: FUC 5 days    Vital Signs    Weight: 18.1;