C09991890 / invoice 10000

Reason: Cheek Swelling Bleeding Appointment Notes: mv triage to PCP if neededSubjective: Noticed bleeding mouth this morning - left sideNoticed a swelling in the mouth as wellHad been scratching/licking at paws Has some known gum/dental issues (fractured carnassial)Examine: BAREyes NADEars NADOral: MMs pink CRT <2s. Mild irritation at L lip canthus; tape lift NSF.Dhruva allowed a pretty comprehensive oral exam - can't check under tongue, but no obvious bleeding, wounds, or swellings noted otherwise.Does have lots of thick calculus and broken upper R carnassial LNNs WNLCardiac NADAbdomen NADInteg: Checked all four feet, mild irritation consistent with skin disease, no frank bleedingAssessment: Oral bleeding - dental disease? Vs other?Plan: Full oral exam under sedation/GA would be the next step - PCP has already recommended dental with likely extraction of R upper carnassial, so plan for thisCan use chlorhex around mouth where irritation noted, and place on 3 days carprieve for any discomfortEst given for dentalTreatment: Carprieve BID PO 3 days    Vital Signs    Weight: 33.9;