C09989532 / invoice 10000

Appointment Reason: Lump removal surgery (tumour, mass, cancer), Appointment Notes: -LFPorsche was anxious and barking CX: rep inductionHR 108 mm pink CR <1 secvery anxiousskin maculopapular generalised distribution- chronic allergic skin diseaseBloods were declinedAS risk IISedated at 10am :with Methadone 0.3mg/kg= 0.6mlACP0.02mg/kg= 0.2ml  Both drugs given imInduction was done with 2.1ml needed for easy intubation Size 9 ET tubeIso maintained on 2% through - uneventful surgery and recoverySurgical procedureThe tumour had brittle , nodular granular mixed appearanceAbout 5mm diameter at based and extended about 0.8mm into anus from rim of external surface of anus.The tumour was clamp and well isolated from sphincter but close to analsac ductMargins unclear on excsionClosure PDS 3/0 continuous patternHome on meloxicam, gabapentin and clavulox due to location and faecal content in areaRecheck 5 days and 14 days results opending    Vital Signs    MMColour: Pink;       HeartRate: 108;       CRT: Less than 1;