C10008442 / invoice 10000

Email in appointment notes - cnCousteau has a very big lump next to his ribcage that sprung up overnight. A Vet saw him on Monday night (2 March) a bit of blood came out when puncturing to get a sample for the microscope, the Heidelberg practice Vet thinks possibly an abscess from infection or (impact). He was given a week worth of meloxicam and noroclav. Since the lump has not gone down next step should be surgery. Heidelberg vets don't have capacity for surgery before 2 weeks, I am hoping you after assessment if surgery is best that you will have time for this week ASAP even the same Tuesday am? He is in good spirit, however I think the meds might upset his delicate stomach if extended unnecessarily. I've had him for 10 months I am not very good a living him in pain if he is, he doesn't complain. Thank you    Vital Signs    

multiple fatty massesno improvement on mass on right chest with antibiotics (norclav) and meloxicamon vitaminshad TPLO and hx of meniscal tearappetite is worse in the morningate well this morning PEBAR, BCS 5/9, NSR, no murmurs heard, fluid filled mass on right chest (7cm in diameter), soft SQ masses (3 ~1cm in diameter; 2 left chest, 1 left hip), NSR, no murmurs heard, clear OU, clean AU, very clean teeth, soft on abdominal palpation, rest NSFA: Soft SQ mass (fluid filled) left chestA2: Hx of TPLOA3: Hx of meniscal tear - no surgeryA4: Soft SQ masses (lipomas) - historicalP:clipped and cleaned area, numbed with numbit topicalcleaned with chlorohexremoved 15mL serosanguinous fluid using a 19 G butterfly needlesubmitted fluid to Idexx for fluid analysissubmitted fluid to Gribbles for culturerefilled antibiotic for 3 days continue meloxicam for 5 daysRx:Amoxyclav 500mg Tabs 9.00Give 1.5 tablets by mouth twice a day with food. This medication is an oral antibiotic.    Vital Signs    Weight: 48.5;       MMColour: Pink;       HeartRate: 90;       RespirationRate: 32;       BodyScore: 5;       CRT: Less than 1;