C10007251 / invoice 10000

Reason: Bleeding GumsAppointment Notes: Overdue remindersHistory:Mouth has become smelly recently, bloody discharge lHS of mouthAppetite up and down, better now that back on his MyDogPottering around and while he sleeps a lot he also enjoys a pat and life in generalIn with male ownerSyncopal episodes in the pastExamine:Eyes ears fineOral cav - bloody discharge lower LHS of mouth. O showed me photo of what looks like fleshy mass lower arcade around 305. HR 140 no maAbd palp comfy softAssessment:Oral neoplasiaPlan:Rv as req, may need a few injections in a row or pulse therapy long termIni sedate examine    Vital Signs    Weight: 5.4;