C09992377 / invoice 10000

Reason: Lump Check, BP Check Etc SIDE DOORAppointment Notes: ------- Sms reply: Y. Thank you xHistory: Has been doing wellIs on enalepril 10mg BIDWant to check BPAlso has new lump oin left side of tail baseExamine: Unable to assess BP as doppler used in emergencyEyes lenticular opacityEars NADOral cavity MM pink and moist moderate calculusHeart ha grade 3 right sided systolic heart murmurRespiration NADAbdo palpation difficult to palpate as is overweightLymphodes NADIntegument small peducuclated raised mass tail baseCytology - occasional neut + debris - no mast cells present Assessment: Mass likely sebacous adenoma vs skin tag not MCTPlan:Need to assess BP soon owner to rebookNo consult charge next time    Vital Signs    MMColour: pink;       HeartRate: 90;       BodyScore: 4/5;       DentalGrade: 2/4;       CRT: 1 SEC;