C10014583 / invoice 10000

Reason: C5 Vacc & Check Growth On Foot   KSHistory: Lump on LHL foot unsure how long it has been there, hasnt grown and wasnt bothering storm but recently has chewed it open. Otherwise well EDDU normal no VDCS Parasite Prevention : utd Examination: BAROral G0 CRT <2 pm Eyes ears nad Skin - soft pedunculated mass on top of digit 3 of LHL. Bit too small to sample properly , bleeds. About 3mm , treid to FNA but only got blood contam Chest no murmur HR 90 nroaml bv soudns and effort RR Pant Abdo soft non painful Temp 38.9 Assessment: Lump on foot- benign vs malignant  Treatment: PROTECH C4 Batch - 5257038B                                           Exp -27.1.27PROTECH BRONCHOSHIELD ORAL Batch -5245060A                                                              Exp -14.4.27Plan:Lump doesnt look or feel concerning, most likely a skin tag, but discussed option for removal + histo for definitive diagnosis. Elect monitor for change in size , will try appllying neocort for a week as a bit ulcerated at the moment.    Vital Signs