C10012195 / invoice 10000

Presenting Complaint:Hx: Current Meds:PE:        Mouth: checked teeth on admission, grade 1 dental only. L tonsil enlarged and everted from crypt on intubation, no foreign material was identified.    CVS:    Resp:    Abdo:    MSK:    Neuro:    EENT: Crusty mass approx 15mm diameter round as prev descibed but pedicle when mass removed was approx 1cm lomg X 5mm wide.A standard primary closure would have been quite distorting so I undermined the edges and made a couple of tiny skin releases and tiny sutures + a fixamol patch. Cartilage was not incised or interfered w at all    LN:    Skin:    UroGen:    Rectal:Problem List: DDx:Tx/Plan:Dx: R ear mass removalClient Communications:Surgical excision of mass inner R pinna with sample sent for histopathology.The margins of excision were borderline in size so I didnt use a full haematoma pad but attempted a primary closure with minimal deformatin to the pinnal shape. The sutures are tight and a couple of tny releasing incisions were made to reduce tensio. It is very important that te elizabethan collarremai on until suture removal a self trauma will definitely tear the site open.Please continue meloxicam st home from dinner Wednesday night.1X500mg paracetomol can be given morning and night for additional analgesia if required.On induction of anaesthesia, I note that Locky's Left tonsil is enlarged and inflamed so this may be contributing to his bad breath. The antibiotics should help.Follow-up:    Vital Signs    Weight: 36.4;       

Reason: Bleeding Sore On Ear Appointment Notes: 36.4kgPresenting Complaint:Hx: lump excised and frozen May 2025 ( viral papilloma?) Has recurred - is now 15mm diameter, crusty with bleeding crevices. Placed betadine melolin fixamol bandaid to stop the bleeding and plan Sx removal _ not sure how yet) tmrw under GACurrent Meds:PE:        Mouth:    CVS:    Resp:    Abdo:    MSK:    Neuro:    EENT:    LN:    Skin:    UroGen:    Rectal:Problem List: DDx:Tx/Plan:Dx:Client Communications:Follow-up:    Vital Signs    Weight: 36.4;       Temperature: 38.1;