C10019375 / invoice 10000

Appointment Notes: lump check Hx. New lump noticed on L side. Had STT removed from R HL last yearHas gained 2kg!PE. Demeanor: QAREyes: Clear, no discharge, PLR and menace intactEars: Ear canals clear, no dischargeOral/teeth: Grade 0/4 dental diseasemm: pink, CRT < 2 secRespiratory: Lung fields clear, no audible heart murmurAbdomen: Soft and pliable on palpation, no palpable masses or areas of painMSK: Ambulating well. some discomfort on flexion of L elbowGood ROM on the hips, well muscled hindlimbs, rest of MSK exam wnlSkin/integument: well furred coat, no evidence of ectoparasites or infectionSmall, raised, black lump Caudal L flank area. Approx 0.5cm. Urogenital: wnlBCS: 7/9T: not takenA. Lump. DDx. benign vs. neoplastic Melanocytic so no FNA todayP. Recommended sedation and removal +/- histoEstimate on file     Vital Signs    Weight: 43.39;       

Appointment Reason: Allergic Reaction and vaccinationHx. Recently moved to Coolum from Mt. IsaHas STT removed from R tarsus last yearHas otherwise been wellUTD on NGSO noticed some bumps on back this morning. Not really itchy PE. Demeanor: QAREyes: Clear, no discharge, PLR and menace intactEars: Ear canals clear, no dischargeOral/teeth: Grade 0/4 dental diseasemm: pink, CRT < 2 secRespiratory: Lung fields clear, no audible heart murmurAbdomen: Soft and pliable on palpation, no palpable masses or areas of painMSK: Ambulating well. Good ROM on the hips, well muscled hindlimbs, rest of MSK exam wnlSkin/integument: Diffuse raised lumps on dorsal back. no crusting. no discharge not really itchy. Urogenital: wnlBCS: 6/9A. Ok for vaxDiffuse raised lumps on back. DDx. insect bites?, allergic, infectious P. C4 + BB oralZyrtec PO SID 2-3dCan pick up short course of steroids if becomes very itchy     Vital Signs    Weight: 41.3;