C10005101 / invoice 10000

Reason: Check Lumps. FGAppointment Notes: Overdue remindersReason:Pre-consult nurse initials: SB- ROOM 3A lump around the right hip- has grown in size- was previously the same size as the one on the left- has been checked previously- in august last yearLump on the left side- hasnt grown in sizeneither lumps are bothing her O are about to travel for a year with her and would like to know if they are save to leave or to remve themEDUD Normally- BARTruLove: Vaccination status: UTDFlea & Tick prevention: qunatumWorming: miproHeartworm: SR12Other medication: NDiet:Behavioural issues/observations:Microchipped: on fileVIP: NInsurance:EDO (Trupanion): Clinical exam:Been in good health at home.Bright, Alert, Responsive.Heart rate and respiratory rate wnls.Gums pink and well hydrated.Chest auscultation NAD.Abd palpation NAD.Aural exam NADSkin exam NADEyes NADOral exam NADMusculoskeletal system all okay.Neurologically appears sound.Lymph nodes all regular size.No obvious lumps or bumps.Rest of exam all okayCytology:- Neutrophils ++, No malignant cells detected, No bacteria or yeast detectedAssessment:- Cystic lesion most likelyPlan:- O will monitor and return if concerned- Advised Cysts typically keep growing however may rupture    Vital Signs    Weight: 7.4;       MMColour: Pink;       CRT: < 2 sec;       

Reason: Health Check / VaccinationAppointment Notes: Paws App Details:Booking Type: VaccinationBooking Vet: - Any -Booking Notes: Vaccination and Health Check.Vaccination - duramune C4 + oral BB.Pre-consult nurse: NS EDUD as per usual, BAR> Check lumps on L lumbar and R lumbar. Have noticed last couple months and grown a little in size. Just underneath the skin about 1cm in diameter. Vaccination status: to be done today Flea & Tick prevention: to be done today Worming: to be done today Heartworm: to be done today Other medication: N/A Diet: dry and chicken Microchipped: Y VIP: N Insurance: n EDO (Trupanion): Clinical exam:Been in good health at home.Bright,Alert,ResponsiveHeart rate and respiratory rate wnls.Gums pink and well hydrated.Chest auscultation NAD.Abd palpation NAD.Aural exam NADSkin exam NADEyes NADOral exam NADMusculoskeletal system all okay.Neurologically appears sound.Lymph nodes all regular size.No obvious lumps or bumps.Rest of exam all okay.Cytology preformed on the mass on the hindquaters. Dermal. No neoaplastic cells seen but some cystic like material and unusual cell types. Discussed options - suspect benign but would need  removal with Histopath to see exact cell typeMonitor a this pointRemove if starts to changeHad Proheart, quantum and vaccine todayHome with milpro--- 16/08/2025 10:16:34 AM FG:Examinations - Resolved -    Vital Signs    Weight: 7.2;       

Appointment Notes: Vacc, SR12 and preventatives.Vaccination - duramune C4 + oral BB.Pre-consult nurse: SMGiving C4 Duramune and Oral BB today. Also Quantum and Sr12. No concerns. EDUD normal.Vaccination status: UTD, giving C4 Duramune and Oral BB todayFlea & Tick prevention: UTD, giving Bravecto Quantum todayWorming: Not UTD, will worm as neededHeartworm: UTD, giving Sr12 todayOther medication:Diet:Microchipped:VIP:Insurance:EDO (Trupanion): Clinical exam:Been in good health at home.Bright,Alert,ResponsiveHeart rate and respiratory rate wnls.Gums pink and well hydrated.Chest auscultation NAD.Abd palpation NAD.Aural exam NADSkin exam NADEyes NADOral exam NADMusculoskeletal system all okay.Neurologically appears sound.Lymph nodes all regular size.No obvious lumps or bumps.Rest of exam all okay.History:  Examination:  Laboratory:  Assessment:  Treatment:  Plan:--- 07/09/2024 10:14:25 AM FG:Examinations - Resolved -    Vital Signs    Weight: 6.8;