C09997348 / invoice 10000

Hx:
Presenting problem: health check, check lesion on nose, thinks getting bigger. Also licks bottom a lot
Eating: Normally- will only eat kangaroo
Drinking: Normally
Urinating: Normally
Defecating: mild diarrhoea
No V+, coughing, or sneezing
UTD vaccines, SR12, BQ and intestinal worming
Any current medication? None
Any other concerns None
PE: 
Mentation: BAR
Eyes: NAD
Ears: NAD
Nose: NAD
Mouth: ds 0-1/4, MM pink, CRT <2
Heart: HR 120bpm, regular, no murmur, pulses wnl
Lungs: NAD
Abdominal examination: NAD
Skin and coat: Small area mildly thickened skin dorsal muzzle rostrally, fur looks normal
LN: NAD
Temp: Not taken
BCS 6 /9
 MCS A /D
Weight: 8.2kg
EAG L +brown dc R ++ green dc
Assessment:
Lesion on nose could be from irritation, she could be rubbing it. Monitor, recheck if gets bigger, loses fur, or bothering her. 
Anal gland abscess R gland. Suspect diarrhoea contributing cause
Plan: 
125mg clav BID 10 days
0.1mg/kg meloxicam 8kg dog PO SID 5 days
Recc 1/4tsp psyllium (metamucil) BID to help with stool consistency
Recheck 10 days