C10005872 / invoice 10000

07/03/2026 HISTORY
Presenting for: Shadow presented for repeat consultation regarding nasal mass, has started chemotherapy orally. Owners report the mass has grown significantly since last week and bleeds with sneezing or excessive activity.
V/D/C/S: Sneezing with bleeding episodes
Current Meds: Tranexamic acid, oral chemotherapy (recently started)
Diet: Eating and drinking normally
Other: Owners report Shadow remains happy despite condition progression

EXAM
Nose: Affected nasal area has increased by approximately 25% since previous examination one week ago, indicating rapid growth. During consultation, patient sneezed and expelled a 0.5 x 0.5 cm chunk of tissue with blood from nostril.

ASSESSMENT
Nasal neoplasia - rapid progression with significant growth over one week period and active bleeding with sneezing episodes

PLAN
Additional Discussion:
- Owners have scheduled video consultation with Animal Cancer Centre on Wednesday to discuss radiation therapy options
- Will update Animal Cancer Centre regarding rapid tumour progression observed today
- Advised owners to keep clinic informed of treatment decisions to facilitate appropriate recheck scheduling

Client Comms:
- Discussed rapid growth of nasal mass and bleeding episodes witnessed during examination
- Regarding safety of park visits during chemotherapy: advised unfamiliar with specific chemotherapy protocols and will defer to Animal Cancer Centre for guidance, particularly noting current kennel cough outbreak in area
- Requested owners maintain communication regarding treatment decisions from specialist consultation