C10019478 / invoice 10000

Reason: Lumps Around Eyes Appointment Notes: Overdue remindersHistory:Spots around his eye on the skin. Discolouration of nose. Put sunscreen on.Started when they changed his food. EDDU normal. Not affected. No rubbing of face.Worming/ flea/ hw prevention:  UTD, nexgard spectra.Examine:- Oral cavity - NSF.- Dental Score - 0- Ears/ eyes/ skin - red, raised lesions around eyes, nose and lip.- LNs - Peripheral LNs WNLs. - Thoracic auscultation - No audible murmur or arrhythmia, normal bronchovesicular sounds. - Abdominal palpation - Soft, comfortable, no palpable anomalies. - MSK - No lameness observed, complete MSK exam not performed. - Neuro - Appropriate mentation, no ataxia. Complete neuro exam not performed. - Genitourinary - NSF.Cytology:Sticky tape- no infectious agentsAssessment:Inflammatory, non-puritis?Allergy v autoimmune v otherPlan:Go back to old diet and steroid trial. Ini in 2 weeks rev. Sooner if getting worse.    Vital Signs    Weight: 24.2;       MMColour: PM;       HeartRate: 120;       BodyScore: 5/9;       DentalGrade: 0;       RespirationRate: pant;       

Reason: POCAppointment Notes: Overdue remindersWound healing really well. No concerns from O. Full of energy and excited. No need for S/R or revisit.    Vital Signs    

Reason:  Post Op Phonecall - CastrateEating: Very wellDrinking: YesToileting: NormallyWound: Healing normallyBehaviour: Full of energyCone: Owner replaced e-collar with cloud collar - seems more comfortableTaking medication: Starting Meloxicam this afternoonPost op checked booked: Yes    Vital Signs