C09996503 / invoice 10000

Reason: Bump On HeadAppointment Notes: Overdue remindersHistory: BIB: MadeleineVaccines: UTDParasite Prophylaxis: UTDEDDU: WNL O noticed lump above eye 5 weeks ago after groomer - worried that something grazed her eye, has grown a little (~1-2mm) over this time. Is not irritating PoppyExamination:BARSame as previous, apart form lump on L eye just above medial canthus, dermal, alopecic, pigmented, mild erythema, disc-like, .5cm in diameter (see picture on file). Assessment:Lump on L eye just above medial canthus ddx inflammatory vs infection vs neoplastic (mast cell, melanoma) Plan:FNA/ diagnostics declined for today, o elected to monitor Wipe affected area 2x per day with wipes for a week, leave on for 5mins then wash off. INI or gets worse, o directed to revisit in 1 week for FNA    Vital Signs    Weight: 30.5;