C09994641 / invoice 10000

Reason: GHC & Vax  BM Lump On Leg - ESAppointment Notes: Overdue reminders  ------- Sms reply: YHistory:Owner presents Gabbar for check up and vaccinationEDDU well currentlyNo vomiting or diarrhoeaActive and brightExamination Quite anxious and nervous for examination today. Owner holding for majority of examination Demeanour: BAR  HR: 100   CRT: < 2 secs Cardiovascular: cardiac auscultation normal, no audible murmurs or arrythmias. Pulse, normal and synchronousRespiratory: Normal respiratory effort. Clear sounds bilaterally, no crackles or wheezing. Oral Exam: Dental score: (0 /4) No oral abnormalitiesAbdominal palpation: Soft and comfortable, normal gut sounds Integument; Healthy Coat, no cutaneous or subcutaneous masses1cm region of thickened skin right hock region, possible callus?MSK: Ambulatory. Comfortable ROM of Limb/Joints. No spine, neck or joint pain noted Ears: clear no discharge or inflammation Eyes: clear no dischargeNeurological: NADLymph Nodes: NAD Urogenital: Botht estes decended Body Condition Score: 5/9 Temp: Hydration Status: Normal Hydration Pain Scale (0/4)Assesment:Thickened skin - callus vs dermatitis vs otherPlan:    Vital Signs    Weight: 37.1;