C09994558 / invoice 10000

Reason: Check Lump On Abdomen - SMAppointment Notes: Vaccination today if possibleReason:Pre-consult nurse initials: SB- ROOM 4O feels like the lump has gotten worse- elevated and irritated looking- isnt bothered by itRash under abdo is still thereO feels like the meds helped a bitStill itchy Finished medications TruLove: Vaccination status: vaccinating today if possFlea & Tick prevention: quantumWorming: cazitel Heartworm: SR12Other medication: NDiet:Behavioural issues/observations:Microchipped: on fileVIP: NInsurance: YEDO (Trupanion): Clinical exam:Been in good health at home.Bright, Alert, Responsive.Heart rate and respiratory rate wnls.Gums pink and well hydrated.Chest auscultation NAD.Abd palpation NAD.Aural exam NADSkin exam NADEyes NADOral exam NADMusculoskeletal system all okay.Neurologically appears sound.Lymph nodes all regular size.No obvious lumps or bumps.Rest of exam all okayOral BB/Pi2Pre-consult nurse:Vaccination status:Flea & Tick prevention:Worming:Heartworm:Other medication:Diet:Microchipped:VIP:Insurance:EDO (Trupanion): Clinical exam:Been in good health at home.Bright,Alert,ResponsiveHeart rate and respiratory rate wnls.Gums pink and well hydrated.Chest auscultation NAD.Abd palpation NAD.Aural exam NADSkin exam NADEyes NADOral exam NADMusculoskeletal system all okay.Neurologically appears sound.Lymph nodes all regular size.No obvious lumps or bumps.Rest of exam all okay..    Vital Signs    Weight: 32.6;