C10020998 / invoice 10000

Appointment Notes: Vacc, check lump. TingHISTORY:Due for vaccinationCheck on new lump L axillaCURRENT DIET: Lyka - bespoke formulationPREEXISTING CONDITIONS: weight gainCURRENT MEDICATION:  NonePE:T-Not takenHR/CARDIAC-No murmur NSR  HR110/mRR/RESP-Normal lung sounds and resp effortMM-NCRT-NLNN-NABD-NBCS-7.5/9Ideal BW approx 5- 5.5kg OTOSCOPY/EARS:  Mild cerumen accumulation hrz canals bilatORAL HEALTH:  Gr1-2 calculus - diffuse. COHAT  requiredEYES: NMSK: Mild R elbow periarticular thickening, sl reduced ROM , no painSee prev hx of bilateral CCL# and surgical repair TPLO Dr BlaikieBilateral mod medial stifle fibrosis Stiff when arising after restNo lameness noted Intermittently stands with elbow rotated laterally INTEGUMENT: L axilla : 12mm, alopecic, firm, WD epidermal massPresent for 8mths. Increasing in size Mild erythema and brown stained hair ventral tail base.  Bilateral hyperplastic cr thoracic treats Suspected Lipoma LHL cr stifle - 2cm . requires FNA confirmationUROGENITAL: NCNS: Not routinely examinedPROBLEM LIST:OverweightDental calculusFocal dermatitis ventral tail baseSuspected lipoma cr L stifle Bilateral stifle OARX:Nobivac BB/PiDHP due in 2026Dermotic R ear BID 10dNeocort ventral tail base BID7dSample of Antinol plus as chrondroprotectantPLAN:Recheck oral cavity in 3-4mths Perform FNA on lump Discuss diet in more detail at recheck     Vital Signs    Weight: 6.8;