C09997097 / invoice 10000

Reason: Cytopoint, +/- Further SkinHistory EDDU normally no vomiting or diarrhoea. Monthly preventative, O has no concerns Physical exam BAR, Ears: Clean, no dischargeEyes: NADOral cavity: MM pink <2, teeth CG Cardiovascular: HR bpm no murmurs or arrhythmias detected. Strong pulseRespiratory: RR bpm no crackles or wheezes Lymph nodes NADAbdominal palpation: Soft and comfortable, No abdominal distension or masses palpatedIntegument: Clean coat, no matting, no crusting or alopecia. Musculoskeletal NAD Neurological: No overt cranial nerve deficits. Appropriate mentation in consult  Assessment Treatment Plan Client CommunicationHistory: Has been happy and healthy, no recent problems.Normal urination, defection, eating & drinking.Examination: BAR, NAD on PE.OMM colour & Crt fine, pulse character fine.Chest auscultation NAD, Abdo palpation NAD, LNs=NT=NAssessment: Differential Diagnosis: Diagnosis: Treatment: Plan:    Vital Signs