C09994205 / invoice 10000

Appointment Notes: Recheck - still bleeding from bottom area. Haven't seen dog for ~7 weeks since. Recheck consult booked to reassess. Will be fasted just in case or may need to book sx for another day. 26/2 LH was booked for court, O happy to see another vet-fe 2/3/26HISTORYEDDU normalDiet: kibbleParasite prevention: flea & tick last time nailStop/start bleeding, using bandaid; doesn't lick, doesn't scoot, normal looking faeces Chews/licks at tops of feet - always done PHYSICAL EXAMINATIONBleeding slightly raised well demarcated lump at 6o'clock position on anus. Anal gland palpable either side, both full.Prostate palpable but not enlarged or painfulDIFFERENTIAL DIAGNOSESSCCAnal gland adenocarcinomaHaemorrhoidExtension of underlying allergic skin diseaseDIAGNOSTIC PLANBloods to assess for hypercalcaemia of malignancy - did not draw enough blood for haematology today, becoming distressed.FNA of lump for pathological evaluation @ CSUHoping for diagnostic sample on FNA to guide treatment recommendations    Vital Signs    Weight: 21.9;       MMColour: Pink;       BodyScore: 6;       CRT: Less than 1;       

JAYNEHistory:Boil on bottom before Christmas- at consult advised to monitorNot bothering, not getting betterbleeding on the carpetNot dragging bottom on ground.Examine:6oclock position of anus  is pinprick sized spot of bloodApplied pressure- some fatty looking tissue came from it- hepatoid growth?no discrete mass to remove externally or palpable rectallyOpening slightly bigger (approx 3mm) and slightly more blood- applied some tissue glueBCS 7/9Discussed that at this point Sx would be tricky as not obvious mass to remove so could remove too much tissue or not enough.Plan:Hopefully clears up.If still bleeding after 1 week to book in for surgical exploration/correction.    Vital Signs    

Appointment Reason: Annual health check and vaccination, Appointment Notes: Paws App Details:History: EDDU normally, no concerns from O NO concerns from ownerNo coughing or sneezing, no V+ or D+ Examine: Mentation normal, BAR Ears and eyes clearDental - teeth looking good, oral exam NAD, MM pink moist, CRT <2HR and rhythm normal, no murmurs RR and effort normal, clear on auscultation bilaterally Abdominal palpation comfortable and normal, no palpable massesAmbulatory 4x limbs, no lamenessNo umbilical hernia Lymph nodes normal, no enlargement Integument normal, no evidence of ectoparasites, hair coat healthy, nails normal Temperature not taken C4 administered today     Vital Signs    Weight: 20.1;