C09995201 / invoice 10000

Reason: Dental Check- Lump In MouthAppointment Notes: spNoticed yest lump behind front teeth. Chewing ok.B/w 403-404 about 8mm diameter gum lump.Back teeth ok.Canines/incisors mod calculus.NAD chest ausc.A: Ddx epulis/hyperplasia vs neoplasia, if latter likely aggressive/fast growing.P: pre-GA blds for general screening.__________________UREA 10.3 mmol/L 2.5 - 9.6Rest WNL (crea 115, SDMA 6)Estimate just under $1330 for scale/polish and gum lump removal/histopath.With extractions estimate $1800-2300.O to bring morning urine to check USG - if reception could do on arrival would be great. If >1.030 then ok. If borderline or <1.030 then vet to call/discuss with O.    Vital Signs    Weight: 8.8;       

Appointment Notes: Daisy (Dog) - Vaccination [Veterinarian : Consultation(No Preference)] - Vaccinations and annual checkupWeb BookingClient name: Janene MeachamContact number: 0418494565Email address: jmeacham@bigpond.net.auPatient name: DaisyLovely girlOnly concern is longstanding "lumps"- these have changed very little and not bothering Daisy, would just like them re-inspectedMMs pink, CRT <2sHeart and resp wnlAbdo and LNs NADEyes, ears, coat NADTeeth ++ tartar, some early periodontal disease grade 2-3/4Looked at 4 masses, all appear to be either lipomas or cysts except for one on ventral abdo which feels like a small, closed hernia with some herniated fat. Vac Pi2 + BB oralSR-12 SC    Vital Signs    Weight: 8.8;       

Appointment Notes: Daisy Meacham (Dog) - Vaccination [Veterinarian : Annandale Animal Hospital(No Preference)] - VaccinationsWeb BookingClient name: Janene MeachamContact number: 0418494565Email address: jmeacham@bigpond.net.auPatient name: Daisy MeachamDue C5, PH. Declined lepto vx as still low risk behaviour (O brings own water when outside).Known tracheal collapse - coughs when excited and drinking water, not daily, elevating water bowls make no difference.Lumps on body not bothering her or changing.PE: BAR. BCS 3/5. NAD chest ausc, ears, nose, mm, mouth, abdo palpation, perineum, LN, gait. Mid back (thoracic/lumbar) twitching on mod pressure.Large flat fatty sc lump over R lat thorax about 10x7x1cm.Over L dorsolat thorax slight pink skin lump about 6mm diameter, suspect sebaceous cyst. P: Can try durotuss for cough (dihydrocodeine 19mg/10ml) - try 2.5ml first, up to 5ml.Rest +/- paracetamol (100mg cherry vanilla children's panadol (1ml) up to BID) for back pain.Lumps O to monitor atm as not rushing into removal.Tx: nobivac dhppi SC, oral Bb. Proheart Sr-12 0.48ml SC.    Vital Signs    Weight: 9.5;