C09993031 / invoice 10000

Appointment Notes: lump check Reason: Skin lesion - query histiocytoma vs wart. First heat cycle.Subjective: EDDU normally, No V+ or d+Small (1cm diameter) skin lesion noted by O, appearance consistent with wartFirst heat cycle occurred approx 3 weeks ago (2 weeks duration, light spotting following week)O queries if mammary glands enlarged post-heatObjective: BAR HR/PR/Cardio: pulse normal and synchronous, CV normal, no audible murmur Temp: ne MM/CRT/Hydration: pink, moist CRT 1 sec, hydration normal RESP/RR: NAD normal rate and effort GIT/UG: NAD comfortable Skin/Ears: 1cm diameter skin mass present, FNA plannedM/S: NAD Eyes: NAD Dental: clean Lymph Nodes: wnl BCS: 5/9Assessment: Skin mass - suspected histiocytoma (atypical age but most likely), DDx wart. FNA to be performed.Mammary glands normal size post-heat cycle.Treatment: FNA of skin lesion performedPlan: Cytology reviewMonitor lesion - histiocytomas typically self-resolveRecheck as needed____________________________INSURANCE HXInitial Assessment > 1cm diameter skin lesion, suspected histiocytomaSuspected cause > Age-related benign skin growthDate of first clinical signs >  5/3/26Any other conditions / treatments > First heat cycle completed approx 3 weeks ago    Vital Signs