C10017564 / invoice 10000

Appointment Notes: Overdue remindersHistory: Here for recheck Ate well on the ab but this AM, lethargic, did not want to eat Examination: BAR - hissed and growled Left submandibular LN - enlarged and firm, around golf ball size. Other PLNs - all wnl Oral cavity: dental grade 3/4 Temperature 39.1Chest and abdo wnl Assessment: Enlarged left submandibular LN - possibly increased insize?Advised next step is S1D + wedge biopsy of LN     - if extractions needed, will NOT EXTRACT on the day    - more focused on the LN wedge biopsy    - to entice her with food tonight, tuna, chicken, warm up in microwave Discussion 1. Recom to go to emergency as head vet wont be here till next week, not good idea to wait till next week 2. To call up other GX clinics for availability 3. Can book for friday (in 2 days) but less experienced vets, will have to move other consults around O opted for 3. Recom to give gabapentin before - O will give us a call day before if needed Treatment: N/A Consent has been given by the client to proceed with this treatment  -  YesPlan:Booked in for s1d + LN wedge biopsy for friday - provided estimate    Vital Signs    Weight: 6;       Temperature: 39.1;