C09994373 / invoice 10000

Appointment Notes: Gusto (Dog) - Recheck [Veterinarian : 1 Consult(No Preference)] - Recheck of burst access ? CystWeb BookingClient name: Lisa FrancisContact number: 0417885249Email address: cec_1959@hotmail.comPatient name: Gusto Original Appointment Type: Recheck  ------- Sms reply: Yes  ------- Sms reply: YesHistory:  progressing wellLump on LHS should is resolving, no longer painful to touch and decreased in size signficiantly.O says difficult to give tabelts but they are managing.Examine: BAR, pink mmLungs and heart sound clear.Abdo soft and comfortable.Lesion on L shoulder has healed nicely. Soft to palpate, no erythema or discharge.Diagnosis: Progressing adequately.  Plan: continue treatment as prescribed - finish Ab cephalexin course. Offered to give convenia injection if tablets weren't manageable - O declined.    Vital Signs    Weight: 8.8;       

Reason: Burst CystAppointment Notes: Cyst on back of shoulder burst this afternoon - LNHistory:LH shoulder has a cyst/abcess which has opened and draining. O noticed it come up a couple of days ago. No known trauma, history of grass seedsPreviously had lipoma in same spot, O said went away 6mth ago.Otherwise well.Examine:BAR mmpink, CRt <2Cardio and resp WNL3x3cm round well demarcated firm draining lesion on left shoulder.Laboratory: Cytology: Neutrophils +++Treatment:Clip and clean with chlorhex.1/2 cephalexin 500mg tablet BID for 10 days.Plan:Recheck in 5-7 days if no improvement sedate for possible grass seed removal.Represent if gets any worse.    Vital Signs    

Reason: Re-Access BandageAppointment Notes: SN  ------- Sms reply: YesHistory:1 week post RFL lump removal. Pulled dressing off this morning but hasnt been bothered at sutures. Otherwise well Examine:RFL lateral paw. Healing well. Plan:Removed suture. Ok to return to normal activity    Vital Signs