C10011477 / invoice 10000

Reason: History: O noticed some irregular bumps on Bambi's abdomen. Unsure how long its been there.Unsure if painful? According to O Bambi flinched and turned when female O tried to touch it, but is completely fine when male O touches it.Has been shaking head since yesterday and holding L pinna lower. Got herself wet in the rain over the last few days. Has a discoloured tooth on right side that O wants checked.Bambi is otherwise her normal self. EDDU normal and folows her routine.Was desexed at a very young age in toowoomba according to O. Examine: BAR, very nervous, will mouth Mouth/Teeth: slab fracture 108. Marked inflammation around the tooth. Otherwise dental condition is very good. Eyes: nadEars: L pinna inflamed, doesnt tolerate otoscopic exam Integ: nadCardiovascular: nadRespiratory:  nadMusculoskeletal: nadAbdomen: firm prominences ventral abdomen around umbilicus, feels like part of the abdominal wall. The prominences are irregular but are symmetrical across central midline. No pain with palpationLns: nadNeuro: nadDifferential Diagnosis: Otitis externaFractured 108Scarring from previous surgery, umbilical hernia/previous hernia repair?Treatment: Dermotic BIDPlan:Treat ears and monitor for improvement108 needs extraction, est attached. O will call to book in.Monitor abdominal wall lesion for now, but assess with ultrasound while under GA for dental    Vital Signs    Weight: 11.7;       BodyScore: 5/9;