C09983600 / invoice 10000

Appointment Reason: Lump (s), Appointment Notes: ------- Sms reply: YHistory:- 4 weeks ago lump appeared on R muzzle, growing quite rapidly - bled a little from trauma when playing, otherwise not affecting P- no signs of itching, no other lumps, no signs of pain - EDUF ok; O is not sure about diet- goes to the park and socialize with other dogs, no other animals at home - no allergies  PE:- mass on R muzzle is around 1cm in diameter, cutaneous mass with a narrow base - PE otherwise NADAssessment:- mass of unknown originPlanning:- Discussed w/ O the options for getting a sample and testing it in a lab. O is happy to proceed w/ excisional biopsy due to location and nature of the mass.- Gave an estimate to O around 850-950$; O is wanting to proceed w/ lumpectomy and will schedule for a procedure    Vital Signs    Weight: 34.6;       MMColour: Pink;       RespirationRate: 162 (panting);       HeartRate: 78;       HeadEyes: Normal;       Nose: Abnormal (1cm diameter mass on R muzzle);       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       Demeanour: BAR;       Hydration: Normal;       Gingivitis: 0;       Calculus: 0;       Observation: Normal;       Temperature: 36.4;       BodyScore: 6;       DentalGrade: 0;       PainScore: 0;       CRT: 1-2;