C10005830 / invoice 10000

Appointment Notes: Overdue remindersReason: Client Present:Nurse:Healthy Pets Wellness Testing: Done Yes / NoVaccination Type: C5 utdIntestinal worming: NGS - given 7th every monthHeartworm Prevention: ^^Flea Prevention:^^Tick control:^^Microchip: yesInsurance and Healthy Pets Plus: yes, yesBehaviour concerns: Current medications:  cytopoint but was about 2 months agoCurrent Diet: savourlife dry and greek yoghurt and pro bioticsType of Shampoo/Frequency:Toileting: fine__________________________________________________________________________History: Presented for enlarged submandibular lymph nodes. Owner noticed them few days ago. Otherwise, EDDU normally. No other concerns Examination: BARFriendlyOral exam: mm pink and moist; CRT <2s; Eyes/nose/ears: clear and free of dischargeHeart/Lung: regular rate and rhythm. No murmurs auscultated. Normal bronchovesicular soundsAbdomen: soft and comfortableMSK: NADNeuro: NADLN: enlarged submandibular LN bilterally. Other LNs normal Assessment: Enlarged submandibular LNs bilaterally. DDx: reactive VS neoplasia Treatment: FNA samples taken from both submandibular LNs Plan: - Recommended to send FNA sample to QML for pathologist to review. Owner consented to go ahead    Vital Signs