C09984576 / invoice 10000

Appointment Notes: Recheck for dental, may require antibiotics. ST   ------- Sms reply: YesNurse Assessment (JK)TPR: See side panelHistory:- presented for pre dental check, needs to get- gets anal glands done regularly - small lump on left cheek - always coughs after drinking-Flea/Tick/Worming prevention - DND-Feeding - DND-EDDU- All normal, no v+ or d+ Phys Exam:- Oral: Calculus score 3/3, Gingiva score 3/3, Dental score 5/5 Bite NAD, No missing or broken teeth.- Ophthalmic: No obvious abnormalities to the globes or eyelids.- Ears: External canals & pinnae normal with minimal debris on visual exam.- Neurological: No neuro exam performed** Cardiac: Auscultation ok, possible murmur?- Resp: Auscultation ok, no abnormal lung sounds.- Abdominal: Soft and comfortable on palpation.** Integument: Small black skin tag on left cheek, coat and skin appears healthy.- Lymph Nodes: All palpable nodes NAD.** Musculoskeletal: No gait abnormalities observed. Strange feeling rib position - Genitourinary: External genitalia appears normal. Vet Assessment (AG)(In consult)Phys Exam: Exam findings consistent with Nurse exam findings above.Additional Vet Comments:  - no obvious extractions- early grade heart murmur - discussed heart murmurs with O, o reports coughing only after drinking water Differential Diagnosis:- Options discussed today:- pre ga geriatric bloods today - Diagnostics Results: 1.Treatment:- Clindamycin 25mg x 21 tablets: Give one and a half (1 1/2) tablets by mouth twice daily. Start four days BEFORE dental & continue three days AFTER dentalOngoing Plan:-*Records Checked Y/N (initials)    Vital Signs    Weight: 5.4;       MMColour: Pink;       HeartRate: 120;       CRT: 1-2;       

Appointment Notes: VETSTORIA - Milly (Dog) - Kimber-Lee Turner (0448831721 - turnerkimberlee1@gmail.com) - Consultation - Vet - 1 Concern = Standard Appointment [Clinician : Vet Appointments(No Preference)] - General check / has mole to check  - Nurse Assessment (SD)TPR: See side panelHistory:- O's have noticed a little lump on L side of lower jaw. Has grown the last month. Bleeds easily- Has had a couple removed in the past.-Flea/Tick prevention- UTD as far as O is aware. Will get history for both dogs sent from YVS.-Worming prevention- UTD as far as O is aware. Will get history for both dogs sent from YVS.-Feeding - Royal canin wet & dry-EDDU- All normal.Phys Exam:***- Oral: Calculus score 3/3, Gingiva score 3/3, Dental score 4/5 Bite NAD, No missing or broken teeth.- Ophthalmic: No obvious abnormalities to the globes or eyelids.- Ears: External canals & pinnae normal with minimal debris on visual exam.- Neurological: No neuro exam performed- Cardiac: Auscultation ok, no audible murmurs- Resp: Auscultation ok, no abnormal lung sounds.- Abdominal: Soft and comfortable on palpation.- Integument: Small lump L side lower jaw.- Lymph Nodes: All palpable nodes NAD.- Musculoskeletal: No gait abnormalities observed.- Genitourinary: External genitalia appears normal. Presenting Problem:- Lump check on L side lower jawVet Assessment (ZV) (In consult)Phys Exam: -Vet exam findings consistent with Nurse exam findings above. -3mm diameter pink with black pigment raised mass, appears like skin tag but  also has a  well circumscribed 1mm flat skin discolouration (pink) lesion around it. evidence of bruising/damage.Differential Diagnosis:- haemangioma /hemangiosarcoma -mast cell tumour -benign skin tagPlan:- Recommend dental ASAP & cauterise lump at the same time. Recommend bloods if there has been no bloods at YVS recently. also recommend abx.     Vital Signs    Weight: 5.8;       MMColour: Pink;       RespirationRate: 28;       HeartRate: 160;       BodyScore: 5;       CRT: 1-2;