C10001228 / invoice 10000

Reason: Lump On Chest SC Appointment Notes: Overdue remindersHistory:EDUF normalEnergy normal Use monthly prevention - covers heart worm/flea/tick/worm Due for C5 vacc O noticed new lump on the chest this week No other lumps found Subjective: BAR - lovely dog, likes treats Objective: Pink and moist mm, crt <2sLns WNLEyes, ears, nose: nadHR: 120 CV: good cardiac sounds, no murmur or arrhythmia auslc RR: panting   Re: normal resp effortResp: good clear bronchovesicular soundsGI: nadU/G: nadGait: ambulatoryIntegument: nad- 2 x 2cm size lump (subcutaneous) located on the left chest area - FNA advised Temp: 37.9 Assessment: Healthy for vacc Advised FNA for lump test on the left chest area- O consented Discuss not 100% diagnostic but first step Laboratory:Two FNA samples taken: -Fat cells only seen on first and second sample-Some RBCs seen on second sample-No other cells seen Dx: benign lipoma currently Plan:Revisit when due for health check in 6 months, recheck lump too then Advised to get it recheck earlier if lump growing or start to feel firm/hard    Vital Signs    MMColour: pink and moist ;       Weight: 30.2;       Temperature: 37.9;       HeartRate: 120;       BodyScore: 5/9;       DentalGrade: 0;       RespirationRate: WNL;       PainScore: 0/4;       CRT: <2s;