C09998452 / invoice 10000

06/01/2026 CONSULT

History: Concerned about a warty lump on her back. 
Also has had some ticks on her belly.  Worried a nipple may be a tick. 
Has difficulty losing weight, but elderly mother in the house does sneak her treats. 
O had a stroke and has been unable to exercise Sami.  This has improved lately.
Panting at home as well as here.  No cough. 

Patient Data/exam
TEMPERAMENT: Nice but a little nervous. 
BEHAVIOR/ CC EFFECT:
WEIGHT/BCS:9/9
NORMAL DIET:Chicken and veg. 
EDUD?:y
**CURRENT MEDICATIONS/CONDITONS: None
TEMP:39.0
HR & SOUNDS / PQ:130, regular, no murmur. 
MM COLOUR & CRT:Pink
RR / LUNG SOUNDS:Clear, panting. 
ABDO PALP: Fat
RECTAL:x
EENO:n
DENTAL:0-1
SKIN:Coat a little thin, but likely from clip - done by O. 
Lump looks like a wart on back, approx 5mm diameter. 
Pigmented nipples - no sign of a tick on ventrum. 
Very overweight.  Coat changes most consistent with clip rather than alopecia. 
No thinning of the tail. 
LNs:n
MSK:n
NEURO:n
UROGEN:n

**Assessment/Problem list: Likely weight caused by diet, but cannot rule out hypoT4. 

Dx plan: Screening T4
Tx plan: Cut back on food. 

T4 is well within normal.  
Focus on diet to achieve weight loss. 
Ignore dog when she says that she is hungry. 



05/03/2026 CONSULT

REASON/CONDITION:
**DATE OF FIRST CLINICAL SIGNS

Nurse notes:

History:
**existing health concerns
- noticed lump on back -dx as a wart - started to grow horns - these have come off and bled when it did 
- just want this checked
- chews a bit at feet also 

Patient Data/exam
TEMPERAMENT: good
BEHAVIOUR/ CC EFFECT: x
WEIGHT/BCS: 8/9
NORMAL DIET:
EDUD?: n
**CURRENT MEDICATIONS/CONDITIONS: none
TEMP: 38.2
HR & SOUNDS / PQ: 120, no murmur
MM COLOUR & CRT: pink, 1 sec 
RR / LUNG SOUNDS: panting 
ABDO PALP: very very tense
RECTAL: x
EENO: L eye - mild to moderate inflammation of conjunctiva with brown ocular discharge. STT 22mm. Fluroscein stain negative. No blepharospasm. No fluroscein stain from L nostril
DENTAL: 0/4 except upper canines and Upper I3 - calculus.
SKIN: Moderate pododermatitis with erythema and dark brown waxy/greasy debris in between toes/pads. Mutiple burrs in coat - clipped off. All nails clipped. 
LNs: n
MSK: n
NEURO: n
UROGEN: n

**Assessment/Problem list:
1. L eye - conjunctivitis with blocked/ non patent nasolarcimal duct. 
2. pododermatitis with yeast infection
3. Mild tartar upper canines only
4. overweight but has lost 800grams recently. 

Tx plan: cytopoint 20mg sc. Bathed all feet in malaseb in clinic

Communication/ future plan: recheck L eye 7 days time